Total Vision Deland LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TOTAL VISION DELAND LLC

Practice address

121 Victoria Commons Blvd Ste 101
Deland, FL 32724-7773

Phone

(386) 271-0991

Fax

(386) 469-9272

NPI assigned

Jul 26, 2023

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Ryan Timko, OD

Title

Owner

Phone

(386) 748-2571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Ryan Timko, OD

  • Optometrist
  • Deland, FL
  • NPI 1982743597
  Medicare reassignment NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1285315093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VICTORIA COMMONS BLVD STE 101",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247773",
            "telephone_number": "386-271-0991",
            "fax_number": "386-469-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VICTORIA COMMONS BLVD STE 101",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247773",
            "telephone_number": "386-271-0991",
            "fax_number": "386-469-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION DELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "TIMKO",
        "authorized_official_first_name": "JEFFREY RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-748-2571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailyn Elaine Toro Rodriguez
• Leonel Torres, DDS,MAGD
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• Wilzette Torres
• Total Renal Laboratories Inc (DaVita Labs)
• Robyn Toub, OTR/L
• Carilynn Treadway, CD (DNT)
• Erica Trenholm, MS OTR/L
• William Trinh, D.O.
• Trinity Gardens Healthcare LLC

• 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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.