Timothy L Tello (NPI# 1346348000, PAC ID# 0042117616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346348000 |
| PAC ID by PECOS | 0042117616 |
| Professional Enrollment ID | I20031212000879 |
| Full Name | Timothy L Tello |
| Organization Legal Name | EYE CENTER OF THE DAKOTAS, PC |
| Address |
611 Ctr Ave N Ashley ND 58413-7011 |
| Phone Number | 7012883071 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1989 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911965041 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 611 Ctr Ave N, Ashley, ND 58413-7011 | 7012883071 | EYE CENTER OF THE DAKOTAS, PC |
| 1221 W Divide Ave, Suite 1, Bismarck, ND 58501-1224 | 7012240661 | EYE CENTER OF THE DAKOTAS, PC |
| 400 Beaver Ave, Wishek, ND 58495-7030 | 7014522620 | EYE CENTER OF THE DAKOTAS, PC |
| Organization Legal Name | EYE CENTER OF THE DAKOTAS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellen E Pathroff | Optometry | Eye Center of The Dakotas, PC | 400 Beaver Ave, Wishek, ND 58495-7030 |
| Danelle F Moch | Optometry | Eye Center of The Dakotas, PC | 611 Ctr Ave N, Ashley, ND 58413-7011 |
| Street Address |
611 CTR AVE N |
| City | ASHLEY |
| State | ND |
| Zip | 58413-7011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danelle F Moch | Optometry | Eye Center of The Dakotas, PC | 611 Ctr Ave N, Ashley, ND 58413-7011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori M Bichler | Nurse Practitioner | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Tara M Brandner | Nurse Practitioner | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Faith Abigail Alverson | Physician Assistant | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Udom Tinsatul | General Practice | Ashley Clinic P C Tinsa | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Nina J Klein | Nurse Practitioner | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| City | ASHLEY |
| Zip Code | 58413 |
| Specialty | OPTOMETRY |
| City + Specialty | ASHLEY + OPTOMETRY |
Please comment or provide details below to improve the information on Timothy L Tello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.