Individual provider Active NPI

Timothy Craig Powell, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1811924673
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-000748 Issued in AZ
Practice address
3940 S Alma School Rd
Ste 5
Chandler, AZ 85248-4497
Phone
(480) 812-3937
Fax
(480) 812-2073
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-000748 AZ Primary

Addresses

Primary practice location

3940 S Alma School Rd
Ste 5
Chandler, AZ 85248-4497

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
458093MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080226000916 AZ Practitioner - Optometry 2264516442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians
Ocotillo Eyecare PCGroup PAC ID 3072699982, 4 clinicians

Practice addresses (Care Compare)

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

3940 S Alma School Rd
Suite 5
Chandler, AZ 85248-4513
Phone (480) 812-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-000748AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocotillo Eyecare P.C. Optometrist CurrentSince Jan 5, 2008 Accepting new patients

Locations

3940 S Alma School Rd
Ste 5
Chandler, AZ 85248
Phone (480) 812-3937

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1811924673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 S ALMA SCHOOL RD",
            "address_2": "STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484497",
            "telephone_number": "480-812-3937",
            "fax_number": "480-812-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TIMOTHY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "458093",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.