Individual
DR. TIMOTHY W. EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
888 MEMORIAL DR STE 201, OAKLAND, MD 21550-5112
(301) 334-1146
(301) 334-9729
Mailing address
15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4924/T1794
OH
152W00000X
Optometrist
Primary
TA2997
MD
152WC0802X
Corneal and Contact Management Optometrist
4924/T1794
OH
152WP0200X
Pediatric Optometrist
4924/T1794
OH
152WV0400X
Vision Therapy Optometrist
4924/T1794
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230621
ANTHEM BLUE CROSS/BLUE SH
OH
01
—
0488300001
ADMINISTAR FEDERAL
OH
01
—
341704134TE
SUMMA CARE
OH
01
—
410040999
MEDICARE RAILROAD
OH
01
—
5086030
CIGNA
OH
01
—
5408550
FIRST HEALTH
OH
Enumeration date
09/30/2005
Last updated
05/12/2026
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