Timothy Dillon Lippert

Primary specialty

OpticianTaxonomy code 156FX1800X

License

252558 Issued in KY

Practice address

3450 Valley Plaza Pkwy
Ft Mitchell, KY 41017-8113

Phone

(859) 341-3767

Fax

(859) 341-3789

NPI assigned

Jun 11, 2022

Last updated

Jun 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1609506849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 VALLEY PLAZA PKWY",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410178113",
            "telephone_number": "859-341-3767",
            "fax_number": "859-341-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 VALLEY PLAZA PKWY",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410178113",
            "telephone_number": "859-341-3767",
            "fax_number": "859-341-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "TIMOTHY",
        "middle_name": "DILLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "252558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Ft Mitchell, KY
• Providers in Ft Mitchell, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.