Michelle Timenovich O.D., a Professional Optometry Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14961TLG Issued in CA

Legal business name

MICHELLE TIMENOVICH O.D., A PROFESSIONAL OPTOMETRY CORP.

Doing business as

Wine Country Eyecare

Practice address

180 Niblick Rd
Paso Robles, CA 93446-4842

Phone

(805) 237-0275

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michelina Lillian Timenovich, ODNPI 1902210586

Title

Optometrist/Owner

Phone

(805) 238-2540

Specialties & licenses 1

Addresses

Other names 1

• Wine Country Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Michelina Lillian Timenovich, O.D.

  • Optometrist
  • Paso Robles, CA
  • NPI 1902210586
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1932612702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9367 RIBERENA CIR",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NIBLICK RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464842",
            "telephone_number": "805-237-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE TIMENOVICH O.D., A PROFESSIONAL OPTOMETRY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "TIMENOVICH",
        "authorized_official_first_name": "MICHELINA",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "805-238-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14961TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wine Country Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zenaida Mejia-Lowell
• Brenda G Mendoza, P.T.A.
• Gabrielle Christina Menendez, OTD, OTR/L
• Menm, LLC
• Michael'S Optical Inc.
• Don R Miller, D.D.S.
• Grace Miller, RN, BSN, PHN
• Nicola Miller, RN, PHN
• Miracle-Ear, Inc.
• Robert Dean Montgomery, DDS

• Optometrist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.