Active NPI
Timothy Ryan Corl, O.D.
- Optometrist
- Palmyra, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001986
- Practice address
- 2901 Horseshoe Pike
Palmyra, PA 17078 - Phone
- (717) 473-3802
- Fax
- (717) 641-3074
- NPI assigned
- Aug 11, 2007
- Last updated
- Jul 26, 2016
- 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 | OEG001986 | PA | Primary |
Addresses
Primary practice location
2901 Horseshoe Pike
Palmyra, PA 17078
Mailing address
2901 Horseshore Pike
Palmyra, PA 17078
Phone (717) 473-3802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Horseshoe Pike
Palmyra, PA 17078-9040
Phone 71747338021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001986 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corl Eyecare, LLC | Optometrist | Current | Accepting new patients |
Locations
2505 N Front St
Harrisburg, PA 17110
Phone (717) 473-3802
758 Cumberland St
Lebanon, PA 17042
Phone (717) 473-3802
2901 Horseshoe Pike
Palmyra, PA 17078
Phone (717) 473-3802
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1962694174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 HORSESHORE PIKE",
"city": "PALMYRA",
"state": "PA",
"postal_code": "17078",
"telephone_number": "717-473-3802",
"fax_number": "717-641-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 HORSESHOE PIKE",
"city": "PALMYRA",
"state": "PA",
"postal_code": "17078",
"telephone_number": "717-473-3802",
"fax_number": "717-641-3074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORL",
"first_name": "TIMOTHY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-11",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.