Individual provider Active NPI

Timothy J Hell, OD

  • Optometrist
  • Elm Grove, WI
National Provider Identifier
1598078859
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3181-035 Issued in WI
Practice address
12876 W Bluemound Rd
Elm Grove, WI 53122-2605
Phone
(262) 432-0052
NPI assigned
Jul 15, 2010
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3181-035 WI Primary

Addresses

Primary practice location

12876 W Bluemound Rd
Elm Grove, WI 53122-2605

Mailing address

163 Beth CT
Burlington, WI 53105-1716
Phone (262) 488-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20110113000193 WI Practitioner - Optometry 8921297516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

309 McHenry St
Burlington, WI 53105-2123
Phone (262) 763-0117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3181-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision & Contact Lens Centers, S.C. Optometrist CurrentSince May 26, 2015 Accepting new patients
Family Vision & Contact Lens CTRS SC Optometrist CurrentSince May 26, 2015 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist PastSince Jun 15, 2021 Accepting new patients

Locations

309 McHenry St
Burlington, WI 53105
Phone (262) 763-0117

8469 S Howell Ave
#2
Oak Creek, WI 53154
Phone (414) 768-0110

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1598078859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BETH CT",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051716",
            "telephone_number": "262-488-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12876 W BLUEMOUND RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222605",
            "telephone_number": "262-432-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELL",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3181-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

Verify at the official NPI Registry.