Active NPI
Timothy Paul Olinger, O.D.
- Optometrist
- Lawndale, CA
National Provider Identifier
1952411365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8825T
- Practice address
- 15725 Hawthorne Blvd
Suite 100
Lawndale, CA 90260-2651 - Phone
- (310) 675-3939
- Fax
- (310) 675-3628
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8825T | CA | Primary |
Addresses
Primary practice location
15725 Hawthorne Blvd
Suite 100
Lawndale, CA 90260-2651
Mailing address
15725 Hawthorne Blvd
Suite 100
Lawndale, CA 90260-2651
Phone (310) 675-3939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8825T | Other | CA | STATE LICENSE |
| SD0088250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101124000112 | CA | Practitioner - Optometry | 1153517503 | Practice locations: Lawndale, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15725 Hawthorne Blvd
Suite 100
Lawndale, CA 90260-2651
Phone (310) 675-3939
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952411365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15725 HAWTHORNE BLVD",
"address_2": "SUITE 100",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602651",
"telephone_number": "310-675-3939",
"fax_number": "310-675-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15725 HAWTHORNE BLVD",
"address_2": "SUITE 100",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602651",
"telephone_number": "310-675-3939",
"fax_number": "310-675-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLINGER",
"first_name": "TIMOTHY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8825T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8825T",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0088250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.