Timothy J. Grace O.D.,P.C.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV004521-1 Issued in NY

Legal business name

TIMOTHY J. GRACE O.D.,P.C.

Practice address

548 W 3Rd St
Jamestown, NY 14701-4733

Phone

(716) 488-1148

Fax

(716) 488-0047

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Timothy J. Grace, O.D.

Title

Optometrist/Owner

Phone

(716) 488-1148

Specialties & licenses 1

Addresses

Other names 1

• Chautauqua Eyecare Doing business as

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1629205604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1148",
            "fax_number": "716-488-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1148",
            "fax_number": "716-488-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. GRACE O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "716-488-1148",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV004521-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Thomas Jr., BSN RN
• Lynn Thomas
• Ashley Thompson
• Tenille M Thompson, M.S. CCC-SLP
• Katherine Elizabeth Tidwell, FNP
• Miriam L Todd, OTR/L
• Sandra Jean Tomaka, RN
• Peter A Tomasello Jr., DO
• Billy Toms, MD
• Clarissa Noelle Toner, RPH, PHARMD

• All providers in Jamestown, NY
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.