Active NPI
Timothy James Velekei Sr.
- Optician
- Bangor, PA
National Provider Identifier
1881059293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 046078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046078 | PA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Eyewear Supplier
- Bangor, PA
- NPI 1104298140
-
- Optician
- Bangor, PA
- NPI 1104373265
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.