Timothy Scott Hickman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01833 Issued in IA

Practice address

114 Central Ave NW
Orange City, IA 51041-1458

Phone

(712) 737-4246

Fax

(712) 707-9855

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Holdings IncGroup PAC ID 0547239840, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ophthalmic Holdings Inc

  • Optometrist
  • Orange City, IA
  • NPI 1548230410
  Medicare reassignment Care Compare group NPD
• Bethesda Christian Counseling Midwest, Inc.

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1376522060
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1740253202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CENTRAL AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411433",
            "telephone_number": "712-737-4246",
            "fax_number": "712-707-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CENTRAL AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411458",
            "telephone_number": "712-737-4246",
            "fax_number": "712-707-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231662",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heimensen Family Chiropractic Ctr
• Jeffrey D Heimensen, DC
• Chasen Hershman
• Arlene T Heynen, MSW LISW
• Martha F Hibma, LISW
• Garret Hill
• Callie Hoelker
• Heidi Jo Hoisington, OTD
• Home Health Resources
• Hometown Businesses Inc.

• Optometrist in Orange City, IA
• Providers in Orange City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.

Verify at the official NPI Registry.