Individual provider Active NPI

Timothy Q Kime, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1851472740
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2690 T513 Issued in OH
Practice address
4021 W Sylvania Ave
Toledo, OH 43623-4428
Phone
(419) 475-6181
Fax
(419) 475-5720
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2690 T513 OH Primary

Addresses

Primary practice location

4021 W Sylvania Ave
Toledo, OH 43623-4428

Mailing address

4021 W Sylvania Ave
Toledo, OH 43623-4428
Phone (419) 475-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2690 T513OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kopan Eyecare LLC Optometrist CurrentSince Mar 24, 2024 Accepting new patients

Locations

4021 W Sylvania Ave
Toledo, OH 43623
Phone (419) 475-6181

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851472740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234428",
            "telephone_number": "419-475-6181",
            "fax_number": "419-475-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234428",
            "telephone_number": "419-475-6181",
            "fax_number": "419-475-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIME",
        "first_name": "TIMOTHY",
        "middle_name": "Q",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2690 T513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.