Jeffrey L Timko OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1119 Issued in FL

Legal business name

JEFFREY L TIMKO OD PA

Practice address

840 N Stone St
Deland, FL 32720-3256

Phone

(386) 734-1766

Fax

(386) 740-7866

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey L Timko, OD

Title

Optometrist President

Phone

(386) 734-1766

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Total Vision Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1265586739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203256",
            "telephone_number": "386-734-1766",
            "fax_number": "386-740-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203256",
            "telephone_number": "386-734-1766",
            "fax_number": "386-740-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L TIMKO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "TIMKO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
        "authorized_official_telephone_number": "386-734-1766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1119",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079146600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Apryl D Jania, FNP-C
• Jayna Race, LMHC Inc
• Chesnel Jean-Mary, RPH
• Jeanette S. Jacobs, Psy.D.
• Alyssa Rupp Jefferson, LCSW
• Holly June Jeffrey, L.P.N.
• Jeremy M Gordon DC PA
• Jesnasublett, PLLC
• Jill Sheldon Counseling LLC
• Maydelin Jimenez

• Optometrist in Deland, FL
• Providers in Deland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.