Timothy R Woolner, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

007491 Issued in NY

Practice address

23 Central PLZ
Ilion, NY 13357-1701

Phone

(315) 894-3325

Fax

(315) 894-6000

NPI assigned

Aug 31, 2009

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Woolner Family Eyecare, O.D., P.C.

  • Optometrist
  • Ilion, NY
  • NPI 1295038834
  Medicare reassignment NPD Authorized official
• Lynn R Henry Optometrist PC

  • Optometrist
  • Ilion, NY
  • NPI 1275717852
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1497988059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-3325",
            "fax_number": "315-894-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-3325",
            "fax_number": "315-894-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLNER",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Wagner, RPH
• Walgreen Co
• Bodhwatie White
• Rhonda Lee White, REGISTERED NURSE
• Woolner Family Eyecare, O.D., P.C.

• Optometrist in Ilion, NY
• Providers in Ilion, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.