Timothy D Nelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14880 Issued in CA

Practice address

910 E Stowell Rd
Santa Maria, CA 93454-7001

Phone

(805) 614-7717

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Pacific University - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Eyecare Medical Group a Medical CorporationGroup PAC ID 5597715391, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.48 of 100Reported as group

Quality

97.86

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.nelson@direct.shepardeye.nextgenshare.com

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.

• Elite Eyecare Medical Group a Medical Corporation

  • Optometrist
  • Lompoc, CA
  • NPI 1437117231
  Medicare reassignment Care Compare group NPD
• Elite Eyecare Medical Group a Medical Corporation

  • Optometrist
  • Solvang, CA
  • NPI 1356763759
  NPD
• Elite Eyecare Medical Group a Medical Corporation

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1710216957
  NPD
• Elite Eyecare Medical Group a Medical Corporation

  • Optometrist
  • Morro Bay, CA
  • NPI 1477264901
  NPD (past)
• Elite Eyecare Medical Group a Medical Corporation

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1760982300
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1518994235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WEST CENTRAL AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-736-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001",
            "telephone_number": "805-614-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2252T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gayle Neal, P.P.S.
• Nathalia Negrete
• John Andrew Nekic
• Chloe Shirley Nelson
• Kristen Dawn Nelson, RN, FNP
• Jose Alfredo Nevarez
• Taylor Nevitt
• New Life Dermatology a Professional Medical Corporation
• New Vision Telemedicine and Medical Consultant, Inc.
• Taylor Newhouse

• Optometrist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.