Individual provider Active NPI

Timothy W. Earley, O.D.

  • Optometrist
  • Oakland, MD
National Provider Identifier
1629065149
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2997 Issued in MD
Practice address
888 Memorial Dr Ste 201
Oakland, MD 21550-5112
Phone
(301) 334-1146
Fax
(301) 334-9729
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 4924/T1794 OH
Vision Therapy Optometrist 152WV0400X 4924/T1794 OH
Optometrist 152W00000X 4924/T1794 OH
Corneal and Contact Management Optometrist 152WC0802X 4924/T1794 OH
Optometrist 152W00000X TA2997 MD Primary

Addresses

Primary practice location

888 Memorial Dr Ste 201
Oakland, MD 21550-5112

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172

Other practice location 1

4463 Weymouth Rd
Medina, OH 44256-9249
Phone (330) 722-2150

Other practice location 2

1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020

Other practice location 3

1415 River Ave Ste A
Cumberland, MD 21502-4629
Phone (301) 722-3500

Other identifiers 6

IdentifierTypeStateIssuer
5408550OtherOHFIRST HEALTH
5086030OtherOHCIGNA
000000230621OtherOHANTHEM BLUE CROSS/BLUE SH
0488300001OtherOHADMINISTAR FEDERAL
341704134TEOtherOHSUMMA CARE
410040999OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100405000002 OH Practitioner - Optometry 8921134669 Reassigns benefits to 2 organizations
I20241220002050 MD Practitioner - Optometry 8921134669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Associates Inc 15 clinicians

Practice addresses (Care Compare)

1415 River Ave
Suite a
Cumberland, MD 21502-4629
Phone (301) 722-3500

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
77.53
Promoting interoperability
96
Improvement activities
40
Cost
77.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4924OHMDCounseling Psychologist
TA2997MDMDOptometrist
4924/T1794OHMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Associates, Inc CurrentSince Nov 1, 2024 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Corneal and Contact Management CurrentSince Sep 1, 2021 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Regional Eye Associates, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist Current Accepting new patients
Regional Eye Associates, Inc. Past Accepting new patients
Regional Eye Associates,Inc. Past Accepting new patients

Locations

1415 River Ave
Ste A
Cumberland, MD 21502
Phone (301) 722-3500

888 Memorial Dr
Oakland, MD 21550
Phone (301) 334-1016

888 Memorial Dr
Ste 201
Oakland, MD 21550
Phone (301) 334-1146

4099 Embassy Pkwy
Akron, OH 44333
Phone (330) 835-1844

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

25101 Chagrin Blvd
Cleveland, OH 44122
Phone (216) 359-1734

2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185

4463 Weymouth Rd
Medina, OH 44256
Phone (330) 722-2150

4277 Allen Rd
Stow, OH 44224
Phone (330) 928-0201

1255 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-3301

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1629065149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 MEMORIAL DR STE 201",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215505112",
            "telephone_number": "301-334-1146",
            "fax_number": "301-334-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4463 Weymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442569249",
            "country_code": "US",
            "telephone_number": "330-722-2150",
            "fax_number": "330-722-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014349",
            "country_code": "US",
            "telephone_number": "330-821-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 River Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024629",
            "country_code": "US",
            "telephone_number": "301-722-3500",
            "fax_number": "301-876-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "4924/T1794",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4924/T1794",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4924/T1794",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4924/T1794",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5408550",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5086030",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "000000230621",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FEDERAL",
            "identifier": "0488300001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA CARE",
            "identifier": "341704134TE",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410040999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.