Individual provider Active NPI

Timothy James Velekei Sr.

  • Optician
  • Bangor, PA
National Provider Identifier
1881059293
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
046078 Issued in PA
Practice address
455 Blue Valley Dr
Bangor, PA 18013
Phone
(610) 432-7000
Fax
(610) 432-7000
NPI assigned
Dec 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 046078 PA Primary

Addresses

Primary practice location

455 Blue Valley Dr
Bangor, PA 18013

Mailing address

455 Blue Valley Dr
Bangor, PA 18013-1513
Phone (610) 452-2720

Other names 1

  • Mr. Timothy James Velekei Sr. Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046078PAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Vision Optician Current Accepting new patients
Blue Valley Vision LLC Current Accepting new patients

Locations

455 Blue Valley Dr
Bangor, PA 18013
Phone (610) 432-7000

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1881059293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131513",
            "telephone_number": "610-452-2720",
            "fax_number": "610-452-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "18013",
            "telephone_number": "610-432-7000",
            "fax_number": "610-432-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEKEI",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "046078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "VELEKEI",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "LO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.