TIMOTHY JOHN MCAULIFFE (NPI# 1811100761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811100761 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN MCAULIFFE |
| Credential | O.D. |
| Practice Address |
4015 East Bell Road Suite # 136 Phoenix AZ 85032-2243 |
| Practice Telephone | 6029715858 |
| Practice Fax Number | 6024041879 |
| Mailing Telephone | 6029715858 |
| Mailing Fax Number | 6024041879 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
636 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA # | MM1524847 | 01 |
| AZ | VISION SERVICE PLAN TAXID | 86-0649146 | 01 |
| AZ | EYEMED PROVIDER # | AZ0636 | 01 |
| Street Address |
4015 EAST BELL ROAD SUITE # 136 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265945653 | Nationwide Optometry P.C. | Optometrist | 2446 E Camelback Rd, Phoenix, AZ 85016-4202 | 2017-11-08 |
| 1922338359 | Dr. David J. Anderson & Associates, P.C. | Optometrist | 1831 E Camelback Rd, Ste B2, Phoenix, AZ 85016-4162 | 2010-01-07 |
| 1619119039 | Ljiljana Aleksic | Optometrist | 1331 N 7th St Ste 100, Phoenix, AZ 85006-2765 | 2009-03-31 |
| 1558553123 | Advanced Vision and Achievement Centers Inc | Optometrist | 3404 W Cheryl Dr, Ste 180, Phoenix, AZ 85051-9578 | 2007-08-16 |
| 1568529220 | Gary Mitchell Shapiro | Optometrist | 112 W Mcdowell Rd, Phoenix, AZ 85003-1213 | 2007-01-02 |
| 1285719237 | Howard J Rosner | Optometrist | 711 E Bell Rd, Phoenix, AZ 85022-2684 | 2006-10-26 |
| 1477166379 | Primary Eye Care Center of Ahwatukee, Plc | Optometrist | 16515 S 40th St Ste 111, Phoenix, AZ 85048-0559 | 2020-08-28 |
| 1013141399 | Optical Expressions Pllc | Optometrist | 112 W Mcdowell Rd, Phoenix, AZ 85003 | 2009-05-14 |
| 1699818260 | David J Anderson | Optometrist | 4350 E Camelback Rd, B 120, Phoenix, AZ 85018-2701 | 2007-02-14 |
| 1407960008 | Robert J Maynard Od PC | Optometrist | 114 W Camelback Rd, Phoenix, AZ 85013-2563 | 2006-08-19 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.