Individual provider Active NPI

Timothy David Rioux, OD

  • Optometrist
  • Fort Kent, ME
National Provider Identifier
1922088335
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT773TA Issued in ME
Practice address
29 Meadow LN
Fort Kent, ME 04743-1203
Phone
(207) 834-3333
Fax
(207) 834-6095
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT773TA ME Primary

Addresses

Primary practice location

29 Meadow LN
Fort Kent, ME 04743-1203

Mailing address

29 Meadow LN
Fort Kent, ME 04743-1203
Phone (207) 834-3333

Other identifiers 4

IdentifierTypeStateIssuer
128740000MedicaidME
017032OtherANTHEM
2023142OtherAETNA
MM4230OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050628000994 ME Practitioner - Optometry 7416993621 Reassigns benefits to 1 organization
Practice locations: Fort Kent, ME

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 Meadow LN
Fort Kent, ME 04743-1203
Phone (207) 834-3333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT773TAMEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Care Associates, P.a. Optometrist CurrentSince Jun 1, 2013 Accepting new patients

Locations

29 Meadow Ln
Fort Kent, ME 04743
Phone (207) 834-3333

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1922088335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MEADOW LN",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431203",
            "telephone_number": "207-834-3333",
            "fax_number": "207-834-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MEADOW LN",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431203",
            "telephone_number": "207-834-3333",
            "fax_number": "207-834-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOUX",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT773TA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128740000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "017032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2023142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "MM4230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.