Tim P Kret OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2288TG Issued in TX

Legal business name

TIM P KRET OD, PA

Doing business as

1st Eye Care

Practice address

3963 Boat Club Road
Fort Worth, TX 76135

Phone

(817) 237-7153

Fax

(817) 237-7123

NPI assigned

May 30, 2005

Organization subpart

No

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

Authorized official

Name

Tim P Kret, OD

Title

President

Phone

(817) 237-7153

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• 1st Eye Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Bond, O.D.

  • Optometrist
  • Decatur, TX
  • NPI 1396743662
  NPD (past)

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1922001445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 BOAT CLUB ROAD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-237-7153",
            "fax_number": "817-237-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 BOAT CLUB ROAD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-237-7153",
            "fax_number": "817-237-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM P KRET OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "KRET",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-237-7153",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2288TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0058FC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696338",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregg Harrison Tillman, DDS
• Katherine Kelle Tillman, APRN ACNS-BC
• Michael David Tillman, DDS
• Tricia Tillman
• Cally Lynn Tilly, LPC
• Timber Creek Dental & Orthodontics
• Timber Creek Orthodontics, P.a.
• Timeless Care Homes LLC
• Timely Telehealth, LLC
• Benjamin James Timmer, DO

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.