Timothy G. Cundiff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010075 Issued in IL

Practice address

4900 N Glen Park Place Rd Ste C
Peoria, IL 61614-4685

Phone

(309) 691-4500

NPI assigned

Jul 1, 2008

Last updated

Jul 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Center PCGroup PAC ID 0042282691, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97 of 100Reported as group

Quality

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Care Center PC

  • Optometrist
  • Peoria, IL
  • NPI 1043291677
  Medicare reassignment Care Compare group NPD
• Roger W Fitch, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1306837307
  Medicare reassignment
• Roger W Fitch OD

  dba Carver Optical- Vision Care Outreach

  • Optometrist
  • Peoria, IL
  • NPI 1558466912
  NPD (past)
• Tina R Thomas OD LTD

  dba Thomas Eye Care

  • Optometrist
  • Washington, IL
  • NPI 1629398144
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1912169962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N GLEN PARK PLACE RD STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N GLEN PARK PLACE RD STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144685",
            "telephone_number": "309-691-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "TIMOTHY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Culp
• Malinda J Cumbow-Radloff, DEVL THERPAIST
• Alexander J Cummings, M.D.
• Julienne A Cummings, LCSW, RN
• Amy M. Cundiff, MA, NCC, LPC
• Jennifer Marie Cunningham, DNP, APRN, CPNP-PC
• Mary Elizabeth Cunningham
• Megan M Cunningham, PA-C
• Jay Michael Curley, LMFT, MSMFT, LPHA
• Keri Lynn Currier, ATC

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.