Active NPI
Timothy G. Tieu, O.D.
- Optometrist
- Danville, CA
National Provider Identifier
1629042965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11757T
- Practice address
- 97 Railroad Ave
Danville, CA 94526-3852 - Phone
- (925) 820-2064
- Fax
- (925) 820-2162
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11757T | CA | Primary |
Addresses
Primary practice location
97 Railroad Ave
Danville, CA 94526-3852
Mailing address
97 Railroad Ave
Danville, CA 94526-3852
Phone (925) 820-2064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090716000219 | CA | Practitioner - Optometry | 4183776503 | Practice locations: Danville, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11757 | CA | MD | Mental Health Counselor |
| 11757T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1629042965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 RAILROAD AVE",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263852",
"telephone_number": "925-820-2064",
"fax_number": "925-820-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 RAILROAD AVE",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263852",
"telephone_number": "925-820-2064",
"fax_number": "925-820-2162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEU",
"first_name": "TIMOTHY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11757T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, CA
- The Reutlinger Community (reutlinger community for jewish living)
- Reena Thiara, O.D.
- Angela Sabatino Thompson, M.A.,CCC-SLP
- Christine M Thompson, D.C., D.A.C.N.B
- Through the Hayes Optometry Inc (Vision Dynamics Optometric Center)
- Timothy Leung MD Incorporated
- Erika Tiu, BCBA
- TMS Interventions and Clinical Specialties Inc. (Blackhawk TMS)
- Todd M Yonemura DDS, Apc
- Dorothy Ann Torrre, MS, PH.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.