Individual provider Active NPI

Timothy Michael Milburn, O.D.

  • Optometrist
  • Plano, TX
National Provider Identifier
1306929641
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5133 Issued in OH
Practice address
4160 W Spring Creek Pkwy Ste 100
Plano, TX 75024-5317
Phone
(330) 725-4680
Fax
(330) 725-2010
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5133 OH Primary

Addresses

Primary practice location

4160 W Spring Creek Pkwy Ste 100
Plano, TX 75024-5317

Mailing address

4160 W Spring Creek Pkwy Ste 100
Plano, TX 75024-5317
Phone (330) 416-4569

Other identifiers 1

IdentifierTypeStateIssuer
2195833MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914001758 TX Practitioner - Optometry 9537116363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Milburn-Plano LLCGroup PAC ID 5294146858, 3 clinicians
DRS. Milburn-Frisco PLLCGroup PAC ID 8022419969, 2 clinicians

Practice addresses (Care Compare)

4160 W Spring Creek Pkwy
Suite a
Plano, TX 75024-5316
Phone (972) 612-2099

7932 Preston Rd
Suite 100
Frisco, TX 75034-5707
Phone (214) 494-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Milburn-Plano LLC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
DRS. Milburn-Frisco, PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Danny P Malone Associates LTD Optometrist PastSince Oct 22, 2023 Accepting new patients

Locations

7932 Preston Rd
Ste 100
Frisco, TX 75034
Phone (214) 494-6000

4160 W Spring Creek Pkwy
Ste 100
Plano, TX 75024
Phone (330) 416-4569

1713 Preston Rd
Ste A
Plano, TX 75093
Phone (972) 250-3937

4160 W Spring Creek Pkwy
Ste A
Plano, TX 75024
Phone (972) 612-2099

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1306929641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 W SPRING CREEK PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245317",
            "telephone_number": "330-416-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W SPRING CREEK PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245317",
            "telephone_number": "330-725-4680",
            "fax_number": "330-725-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195833",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.