Active NPI
Timothy William Joyner, O.D
- Optometrist
- Westminster, MD
National Provider Identifier
1801044458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2102
- Practice address
- 280 Woodward Road
Westminster, MD 21157 - Phone
- (410) 857-4759
- Fax
- (410) 857-1740
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2102 | MD | Primary |
| Optometrist | 152W00000X | 130001330 | DE | |
| Optometrist | 152W00000X | 0618002103 | VA |
Addresses
Primary practice location
280 Woodward Road
Westminster, MD 21157
Mailing address
280 Woodward Road
Westminster, MD 21157
Phone (410) 857-4759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050508100 | Medicaid | MD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130001330 | DE | MD | Optometrist |
| 0618002103 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Try State Eye LLC | Optometrist | Past | Accepting new patients |
| DRS Resnick & Manspeaker Oa PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Elkton, MD
- NPI 1285698233
-
- Optometrist
- Elkton, MD
- NPI 1043583156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1801044458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 WOODWARD ROAD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-857-4759",
"fax_number": "410-857-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WOODWARD ROAD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-857-4759",
"fax_number": "410-857-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYNER",
"first_name": "TIMOTHY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2102",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "130001330",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002103",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050508100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.