Active NPI
Timothy Donald Bevers, O.D.
- Optometrist
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2532
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5703 - Phone
- (715) 387-5511
- NPI assigned
- May 12, 2006
- Last updated
- Jun 25, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 2532 | WI | Primary |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 1
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38594400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
174 Crossroads Dr
Plover, WI 54467-4122
Phone (715) 342-9634
316 Division St
Stevens Point, WI 54481-1834
Phone (715) 344-5355
6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Shopko Stores Operating Co LLC | Past | Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1640 Appleton Rd
Menasha, WI 54952
Phone (920) 725-3752
728 E 2nd St
Merrill, WI 54452
Phone (715) 536-4292
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
1045 E Grand Ave
Rothschild, WI 54474
Phone (715) 359-0649
1200 Main St
Stevens Point, WI 54481
Phone (715) 344-1230
1200 Main St
#455
Stevens Point, WI 54481
101 N Western Ave
Ste 101
Waupaca, WI 54981
Phone (534) 400-2068
352 S 18th Ave
Wausau, WI 54401
Phone (715) 842-8040
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Medical Center - Minocqua Professional Services
- Clinic/Center
- Minocqua, WI
- NPI 1942854716
-
dba Fielmann Vision Care 4313
- Eyewear Supplier
- Rockford, IL
- NPI 1467311142
Optometrist
-
dba ShopKo Pharmacy 024
- Community/Retail Pharmacy
- Eau Claire, WI
- NPI 1720034176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1700837168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [
{
"address_1": "1100 Bergslien St",
"address_purpose": "LOCATION",
"city": "Baldwin",
"state": "WI",
"postal_code": "540022600",
"country_code": "US",
"telephone_number": "715-684-1111",
"fax_number": "715-684-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEVERS",
"first_name": "TIMOTHY",
"middle_name": "DONALD",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38594400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.