DR. TIMOTHY G. CUNDIFF


Address: 4900 N Glen Park Place Rd Ste C, Peoria, IL 61614-4685
Phone: 3096914500

DR. TIMOTHY G. CUNDIFF (NPI# 1912169962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912169962
Entity Type Individual
Full Name DR. TIMOTHY G. CUNDIFF
Credential O.D.
Practice Address 4900 N Glen Park Place Rd Ste C
Peoria
IL 61614-4685
Practice Telephone 3096914500
Enumeration Date 2008-07-01
Last Update Date 2008-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 046.010075 IL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL PENDING 05

Office Location

Street Address 4900 N GLEN PARK PLACE RD STE C
City PEORIA
State IL
Zip Code 61614-4685

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831701218 West Point Optical Group Optometrist 24775 N. Pleasant Pkwy, Peoria, AZ 85383 2020-08-18
1487175741 Mark William Wellman Optometrist 18431 N 91st Ave Ste 1, Peoria, AZ 85382-0817 2017-06-27
1255674313 John M. Rinehart, O.d., P.C. Optometrist 13260 N 94th Dr Ste 420, Peoria, AZ 85381-4241 2013-03-27
1811272263 Kevin Michael Ryan Optometrist 5201 W War Memorial Dr, Peoria, IL 61615-9222 2011-10-17
1912212960 Macarius, Max & Daniel, LLC Optometrist 2415 W Glen Ave, Peoria, IL 61614-4533 2010-08-15
1922242379 John P Gysin Od Optometrist 5901 N Prospect Rd Ste 11, Peoria, IL 61614-4337 2009-04-29
1396883401 Eye Boutique Inc Optometrist 2524 W Farrelly Ave, Peoria, IL 61615-3650 2007-02-01
1316098791 Jackson Romaine Bennett Jr. Optometrist 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570 2007-01-14
1487713160 Christopher James Parot Optometrist 15256 N.75th Ave., Suite 380, Peoria, AZ 85381 2006-12-08
1225196827 Richard Scott Stewart Optometrist 10006 W Happy Valley Rd, #1250, Peoria, AZ 85383-1235 2006-12-05
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City PEORIA
Zip Code 61614

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Dataset Information

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.

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