Individual provider Active NPI

Timothy J Barrett, B.C.O.

  • Ocularist
  • Woodbury, MN
National Provider Identifier
1730307984
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Practice address
7582 Currell Blvd
Suite 109
Woodbury, MN 55125-2262
Phone
(651) 739-4111
Fax
(715) 831-9090
NPI assigned
Apr 23, 2007
Last updated
Apr 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ocularist 156FX1700X NU Primary

Addresses

Primary practice location

7582 Currell Blvd
Suite 109
Woodbury, MN 55125-2262

Mailing address

800 Wisconsin St. Mailbox 103
Building D02 Suite 315
Eau Claire, WI 54703-3613
Phone (715) 831-9000

Other identifiers 1

IdentifierTypeStateIssuer
38459900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Laboratories Sioux Falls LLC Ocularist CurrentSince Jun 23, 2024 Accepting new patients
Midwest Eye Laboratories Sioux Falls, LLC Current Accepting new patients
Midwest Eye Laboratories Woodbury LLC Current Accepting new patients

Locations

7582 Currell Blvd
Ste 109
Woodbury, MN 55125
Phone (651) 739-4111

4921 E 26th St
Ste 2
Sioux Falls, SD 57110
Phone (605) 332-7052

800 Wisconsin St
Unit 103
Eau Claire, WI 54703

Organizations & group practices 3

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1730307984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WISCONSIN ST. MAILBOX 103",
            "address_2": "BUILDING D02 SUITE 315",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033613",
            "telephone_number": "715-831-9000",
            "fax_number": "715-831-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD",
            "address_2": "SUITE 109",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-4111",
            "fax_number": "715-831-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "B.C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38459900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.