NPIMap

Individual provider Active NPI

Julie Theriault Timperley, OD

  • Optometrist
  • Gaylord, MI
National Provider Identifier
1295876357
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004115 Issued in MI
Practice address
702 N Center Ave
Gaylord, MI 49735-1508
Phone
(989) 448-2325
Fax
(989) 448-2325
NPI assigned
Feb 10, 2007
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004115 MI Primary

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 names 1

  • Dr. Julie Timperley Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004115MIMDOptometrist

Practice roles

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

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1295876357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497340464",
            "telephone_number": "989-448-2325",
            "fax_number": "989-448-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351508",
            "telephone_number": "989-448-2325",
            "fax_number": "989-448-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT TIMPERLEY",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "TIMPERLEY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.