Timothy Ronald Garner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003389 Issued in WA

Practice address

2100 SE 164TH Ave
Suite D 104
Vancouver, WA 98683-8934

Phone

(360) 256-0203

Fax

(360) 256-0215

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WA

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 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Washington Professional PC 61 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Advanced Eye Care Center, P.S.

  • Optometrist
  • Vancouver, WA
  • NPI 1013114743
  Medicare reassignment NPD Authorized official
• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1992761522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE 164TH AVE",
            "address_2": "SUITE D 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838934",
            "telephone_number": "360-256-0203",
            "fax_number": "360-256-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE 164TH AVE",
            "address_2": "SUITE D 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838934",
            "telephone_number": "360-256-0203",
            "fax_number": "360-256-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "TIMOTHY",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022432",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Garner
• Hillary Garner, RDH, BSDH
• Kate Leigh Garner, LMP
• Katheryn Garner
• Mari Leiko Garner, OD
• Jeffrey Lee Garnett, M.S.
• Dianna Garnica Padilla
• Carol Marie Garrand, PHARMD
• James Theodore Garrard, COTA/L
• Adam Charles Garrett, LMHCA

• All providers in Vancouver, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.

Verify at the official NPI Registry.