Active NPI
Timothy G McNally DO PC
- Ophthalmology Physician
- Burton, MI
National Provider Identifier
1760795801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- TM012077
- Legal business name
- TIMOTHY G MCNALLY DO PC
- Practice address
- 3364 S Center Rd
Burton, MI 48519-1458 - Phone
- (810) 743-3937
- Fax
- (810) 743-9210
- NPI assigned
- Jul 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda K Vowell
- Title
- Biller
- Phone
- (989) 666-6135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | TM012077 | MI | Primary |
Addresses
Primary practice location
3364 S Center Rd
Burton, MI 48519-1458
Mailing address
3364 S Center Rd
Burton, MI 48519-1458
Phone (810) 743-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3391829 | Medicaid | MI | |
| 0B50586 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3364 S Center Rd
Burton, MI 48519
Phone (810) 743-3937
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lapeer, MI
- NPI 1730239492
-
- Ophthalmology Physician
- Burton, MI
- NPI 1548231335
-
- Optometrist
- Flint, MI
- NPI 1538130703
-
- Ophthalmology Physician
- Lapeer, MI
- NPI 1265403422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1760795801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3364 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191458",
"telephone_number": "810-743-3937",
"fax_number": "810-743-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3364 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191458",
"telephone_number": "810-743-3937",
"fax_number": "810-743-9210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY G MCNALLY DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-19",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "VOWELL",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "989-666-6135"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "TM012077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3391829",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0B50586",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.