Individual provider Active NPI

Timothy J. Owens, O.D.

  • Optometrist
  • Hazlet, NJ
National Provider Identifier
1316293079
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00641100 Issued in NJ
Practice address
3013 Hwy 35
Hazlet, NJ 07730-1526
Phone
(732) 739-4000
Fax
(732) 739-4002
NPI assigned
Jul 31, 2012
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00641100 NJ Primary

Addresses

Primary practice location

3013 Hwy 35
Hazlet, NJ 07730-1526

Mailing address

3013 Highway 35
Hazlet, NJ 07730-1526
Phone (732) 739-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130304000280 NJ Practitioner - Optometry 4183879893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

786 Hwy 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00641100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Family Eye Care LLC Optometrist Current Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Aug 10, 2014 Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Aug 10, 2014 Accepting new patients

Locations

359 Brick Blvd
Brick, NJ 08723
Phone (732) 920-1330

178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535

178 Highway 35
Ste 1
Eatontown, NJ 07724
Phone (732) 542-3050

3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000

1021 Route 70
Manchester, NJ 08759
Phone (732) 657-1400

443 State Route 34
Ste F
Matawan, NJ 07747
Phone (732) 583-3600

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151

2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800

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, 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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1316293079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 HIGHWAY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301526",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 HWY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301526",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00641100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.