Michael D Tinkelman OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000753 Issued in PA

Legal business name

MICHAEL D TINKELMAN OD PC

Practice address

1090 Zion Rd
Bellefonte, PA 16823-2511

Phone

(814) 355-7566

Fax

(814) 355-7567

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Tinkelman, O.D.

Title

Incorporator

Phone

(814) 355-7566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1447496021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 ZION RD",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232511",
            "telephone_number": "814-355-7566",
            "fax_number": "814-355-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 ZION RD",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232511",
            "telephone_number": "814-355-7566",
            "fax_number": "814-355-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D TINKELMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "TINKELMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "814-355-7566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.