Individual provider Active NPI

Timothy J Arbow, O.D.

  • Optometrist
  • Eugene, OR
National Provider Identifier
1619961422
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1300ATI Issued in OR
Practice address
690 E 18TH Ave
Eugene, OR 97401-4360
Phone
(541) 485-2020
Fax
(541) 342-2436
NPI assigned
Sep 7, 2005
Reactivated
Apr 5, 2006
Last updated
May 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1300ATI OR Primary

Addresses

Primary practice location

690 E 18TH Ave
Eugene, OR 97401-4360

Mailing address

690 E 18TH Ave
Eugene, OR 97401-4360
Phone (541) 485-2020

Other identifiers 1

IdentifierTypeStateIssuer
144147MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20091103000015 OR Practitioner - Optometry 2466599931 Reassigns benefits to 1 organization
Practice locations: Christmas Valley, OR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene Eye Care Associates PCGroup PAC ID 5193797348, 8 clinicians

Practice addresses (Care Compare)

87520 Bay Rd
Christmas Valley, OR 97641-2233
Phone (541) 554-9888

992 Country Club Rd
Suite 101
Eugene, OR 97401-6023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Eye Care Associates, PC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Lane Anesthesia Associates PC CurrentSince Nov 1, 2022 Accepting new patients

Locations

315 S Pacific Hwy
Cottage Grove, OR 97424
Phone (541) 687-1715

992 Country Club Rd
Ste 101
Eugene, OR 97401
Phone (541) 687-1715

Interoperability endpoints

  • Direct secure messaging: tarbow@eugeneeyecare.intellechartdirect.net

Organizations & group practices 2

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1619961422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014360",
            "telephone_number": "541-485-2020",
            "fax_number": "541-342-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014360",
            "telephone_number": "541-485-2020",
            "fax_number": "541-342-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOW",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2009-05-21",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1300ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144147",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.