Abigail Grace Timmerman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4510AATI Issued in OR

Practice address

450 Hookahi St
Wailuku, HI 96793-1474

Phone

(808) 877-3984

NPI assigned

Jun 8, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, AK2 enrollments

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 2

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.

• Aloha Eye Clinic, LTD.

  • Ophthalmology Physician
  • Wailuku, HI
  • NPI 1447298344

  Optometrist

  Medicare reassignment NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232
  Medicare reassignment NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1225101041
  Medicare reassignment NPD
• Aloha Eye Clinic Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wailuku, HI
  • NPI 1669868600
  NPD
• Aloha Eye Clinic, LTD.

  • Ophthalmology Physician
  • Kihei, HI
  • NPI 1740065325

  Optometrist

  NPD
• Christopher Carmiencke OD

  • Vision Therapy Optometrist
  • Bend, OR
  • NPI 1891985453
  NPD
• Integrated Eyecare Holdings, LLC

  • Optometrist
  • Bend, OR
  • NPI 1497290316
  NPD
• Norton Sound Health Corporation

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Nome, AK
  • NPI 1427187046
  NPD

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1932723756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20063 SUNGLOW CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038591",
            "telephone_number": "231-557-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HOOKAHI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931474",
            "telephone_number": "808-877-3984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 NE Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014645",
            "country_code": "US",
            "telephone_number": "541-382-5701",
            "fax_number": "541-382-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4510AATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Albert Thompson III, MD
• Geraldine Emi Urquidez Thompson, LCSW
• Handan Thompson, LMT
• Thrive Rehab - Maui LLC
• Jeffrey Allen Tice, D.AC.
• Tmeoai Inc
• Jared Toba
• Walter Tokishi, SP
• Apple Shane Tolentino
• Melanie Joy Tom

• Optometrist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.