Clifton N Timmerman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1317 Issued in FL

Practice address

735 N 6TH Ave
Wauchula, FL 33873-2002

Phone

(863) 773-3322

Fax

(863) 773-6458

NPI assigned

Sep 12, 2005

Last updated

Apr 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sevigny & Associates Eye Care, PA

  dba Sevigny and Timmerman Eye Care

  • Optometrist
  • Wauchula, FL
  • NPI 1649427543
  NPD
• Eye Specialists of Mid Florida, PA

  • Health Service Clinic/Center
  • Auburndale, FL
  • NPI 1700370616
  NPD (past)
• Ronald O Sevigny OD

  • Optometrist
  • Avon Park, FL
  • NPI 1972799674
  NPD (past)
• Sevigny & Johnson Eye Care, P.a.

  • Optometrist
  • Avon Park, FL
  • NPI 1497056063
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1376538884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732002",
            "telephone_number": "863-773-3322",
            "fax_number": "863-773-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732002",
            "telephone_number": "863-773-3322",
            "fax_number": "863-773-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "CLIFTON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19485",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078175401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00085223",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maria Villeda

• Optometrist in Wauchula, FL
• Providers in Wauchula, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.