Timothy Thomas Baum, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1996-SC Issued in OH

Practice address

2049 W Prospect Rd
Ashtabula, OH 44004-6437

Phone

(440) 992-4877

Fax

(801) 459-8867

NPI assigned

Jan 24, 2007

Last updated

Jul 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Visionquest Eyecare

  • Optometrist
  • Brunswick, OH
  • NPI 1003976622
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1942355375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046437",
            "telephone_number": "440-992-4877",
            "fax_number": "801-459-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046437",
            "telephone_number": "440-992-4877",
            "fax_number": "801-459-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "TIMOTHY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "1996-SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OHIO",
            "identifier": "341707982-001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Barker, RN
• Jane E Barnes, MA, LPCC, BCPCC
• Stephanie Bartone
• Kristy J Bates
• Christopher John Battaglia
• Jessie Louise Beals
• Kathy Lynn Bean, R.N.
• William Edward Bean, L.P.N.
• Jenna Cheyenne Beaver
• Billie Beck

• Optician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.