Organization Active NPI

Timithy M Dunham MD PA

Doing business as Medical Center Eye Institute

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1861602583
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TIMITHY M DUNHAM MD PA
Doing business as
Medical Center Eye Institute
Practice address
7400 Louis Pasteur Dr Ste 200
San Antonio, TX 78229-4542
Phone
(210) 614-3333
Fax
(210) 697-9952
NPI assigned
May 23, 2007
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Timithy M. Dunham, MDNPI 1477569424
Title
Dr.
Phone
(210) 614-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

7400 Louis Pasteur Dr Ste 200
San Antonio, TX 78229-4542

Mailing address

7400 Louis Pasteur Dr Ste 200
San Antonio, TX 78229-4542
Phone (210) 614-3333

Other practice location 1

9150 Huebner Road
Suite #280
San Antonio, TX 78240-1545
Phone (210) 614-3333

Other names 1

  • Medical Center Eye Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000454 TX Part B Supplier - Clinic/Group Practice 2668455213 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2329 Jacaman Rd
Ste 15
Laredo, TX 78041
Phone (956) 286-5410

7400 Louis Pasteur Dr
Ste 200
San Antonio, TX 78229
Phone (210) 614-3333

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1861602583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294542",
            "telephone_number": "210-614-3333",
            "fax_number": "210-697-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294542",
            "telephone_number": "210-614-3333",
            "fax_number": "210-697-9952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Huebner Road",
            "address_2": "Suite #280",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401545",
            "country_code": "US",
            "telephone_number": "210-614-3333",
            "fax_number": "210-697-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIMITHY M DUNHAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "TIMITHY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "210-614-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Center Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.

Verify at the official NPI Registry.