Active NPI
Timothy John Orndorf, O.D.
- Optometrist
- Shippensburg, PA
National Provider Identifier
1578728093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000716
- Practice address
- 9974 Molly Pitcher Hwy
Shippensburg, PA 17257-8503 - Phone
- (717) 532-9345
- Fax
- (717) 532-3534
- NPI assigned
- Jul 24, 2008
- Last updated
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000716 | PA | Primary |
Addresses
Primary practice location
9974 Molly Pitcher Hwy
Shippensburg, PA 17257-8503
Mailing address
9974 Molly Pitcher Hwy
Shippensburg, PA 17257-8503
Phone (717) 532-9345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140513000046 | PA | Practitioner - Optometry | 8820221187 | Practice locations: Shippensburg, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000716 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1578728093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9974 MOLLY PITCHER HWY",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578503",
"telephone_number": "717-532-9345",
"fax_number": "717-532-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9974 MOLLY PITCHER HWY",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578503",
"telephone_number": "717-532-9345",
"fax_number": "717-532-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNDORF",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shippensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.