Julie Theriault Timperley, OD

Individual provider Active NPI Optometrist · Gaylord, MI

NPI 1295876357 · NPPES record last updated Apr 23, 2012

Key facts

NPI
1295876357
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
4901004115 (MI)
Practice address
702 N Center Ave
Gaylord, MI 49735-1508
Phone
(989) 448-2325
Fax
(989) 448-2325
NPI assigned
Feb 10, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Great Lakes Eye Consultants PLC Past Accepting new patients
Pearle Vision Inc Past Accepting new patients
Onsight, Inc. Past Accepting new patients
Alpine Eye Care, PC Optometrist Past
since Apr 1, 1994
Accepting new patients
Pearle Vision Inc Optometrist Past Accepting new patients
Jeffrey K Chaulk MD PC Optometrist Past Accepting new patients
Dean & Aubry Optometrists PC Optometrist Past
since Jan 3, 2000
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004115 MI Yes

Addresses

Primary practice location

702 N Center Ave
Gaylord, MI 49735-1508

Mailing address

PO Box 464
Gaylord, MI 49734-0464
Phone (989) 448-2325

Other identifiers

IdentifierTypeStateIssuer
900F90023OtherMIBLUE CROSS BLUE SHIELD

Other names

  • Dr. Julie Timperley Professional name

Other providers in Gaylord, MI

All providers in Gaylord, MI · Optometrist in Michigan

Sources for this page

Verify at the official NPI Registry.