Organization Active NPI

Timothy Andrew Wilkins

  • Vision Therapy Optometrist
  • Fresno, CA
National Provider Identifier
1619147535
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
TIMOTHY ANDREW WILKINS
Practice address
2331 Kern St
Fresno, CA 93721-2700
Phone
(559) 264-7799
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Timothy Andrew Wilkins, O.D.
Title
Owner
Phone
(559) 252-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X Primary

Addresses

Primary practice location

2331 Kern St
Fresno, CA 93721-2700

Mailing address

2331 Kern St
Fresno, CA 93721-2700
Phone (559) 264-7799

Other identifiers 1

IdentifierTypeStateIssuer
SD0056151MedicaidCA

National Provider Directory

National Provider Directory

Locations

2331 Kern St
Fresno, CA 93721
Phone (559) 264-7799

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1619147535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212700",
            "telephone_number": "559-264-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212700",
            "telephone_number": "559-264-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY ANDREW WILKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-252-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0056151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.