Tim A Pinke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2375 Issued in MN

Practice address

302 1St Ave S
Saint James, MN 56081-1724

Phone

(507) 375-3737

Fax

(507) 375-3715

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569

  MN, Optometrist

  Medicare reassignment Care Compare group NPD

Specialty

Optometry

Education

Pacific University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of SC LLC 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MN

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2016.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1508939182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "address_2": "517 1ST AVE. S.",
            "city": "ST. JAMES",
            "state": "MN",
            "postal_code": "56081",
            "telephone_number": "507-375-3737",
            "fax_number": "507-375-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811724",
            "telephone_number": "507-375-3737",
            "fax_number": "507-375-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKE",
        "first_name": "TIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462225100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann O Neill Scheidt, PAC PHYSICIAN ASSIST
• Richard L Offenhauser, RPH
• Olson Optical Inc
• Scott T Olson
• Paul'S Pharmacy and Gifts Inc
• Morgan Frances Pitcher, DDS
• Steve M Pitcher, DDS
• Marjorie Ploeger
• Quality of Life Chiropractic, PA
• Tanya Reese, DNP, FNP

• All providers in Saint James, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.