NPIMap

Organization Active NPI

Timothy P. Anderson, O.D., P.a.

  • Optometrist
  • Hendersonville, NC
National Provider Identifier
1588930846
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1484 Issued in NC
Legal business name
TIMOTHY P. ANDERSON, O.D., P.A.
Practice address
3450 Asheville Hwy
Hendersonville, NC 28791-0701
Phone
(828) 692-2593
Fax
(828) 693-5558
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Timothy Philip Anderson, O.D.NPI 1780741959
Title
Owner
Phone
(828) 692-2593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1484 NC Primary

Addresses

Primary practice location

3450 Asheville Hwy
Hendersonville, NC 28791-0701

Mailing address

3450 Asheville Hwy
Hendersonville, NC 28791-0701
Phone (828) 692-2593

Other identifiers 1

IdentifierTypeStateIssuer
890968AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120815000597 NC DME Supplier - Physician - Optometrist 8527214055 Practice locations: Hendersonville, NC
O20260203000512 NC Part B Supplier - Clinic/Group Practice 8527214055 Receives reassigned benefits from 2 practitioners
Practice locations: Hendersonville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Timothy P. Anderson, O.D., PA3450 Asheville Hwy, Hendersonville, NC 28791-0701(828) 692-2593 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since May 9, 2012

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: tanderson@pvc.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1588930846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ASHEVILLE HWY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287910701",
            "telephone_number": "828-692-2593",
            "fax_number": "828-693-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ASHEVILLE HWY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287910701",
            "telephone_number": "828-692-2593",
            "fax_number": "828-693-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. ANDERSON, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-692-2593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890968A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.