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DR. TIMOTHY DANE SHELLEY O.D.
NPI 1699762047
Optometrist in Pekin, IL

Active since September 30, 2005
3287 COURT ST, PEKIN, IL 61554(309) 353-9313(309) 353-4962 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy Dane Shelley O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY DANE SHELLEY O.D. (NPI 1699762047) is an individual optometrist in Pekin, Illinois, licensed in Illinois (046006644) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1699762047
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY DANE SHELLEYCredential: O.D.
Location Address3287 COURT STPekin, IL 61554-6208
Mailing Address8309 N Knoxville AvePeoria, IL 61615-2170 · (309) 693-9540 · Fax (309) 693-9542
Phone(309) 353-9313
Fax(309) 353-4962
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateJanuary 10, 2014
✔ NPI 1699762047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046006644
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.

3287 COURT ST, Pekin, IL 61554
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Other Identifiers 6

Medicaid046006644IL
Medicare NSC0295700012IL
Other410033413IL · Medicare Railroad
Other7215175IL · Bcbs
Medicare UPINT39114IL
Medicare PINK04666IL

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
60%30 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHWETA R HARVI OD
Optometrist
3287 COURT ST
PEKIN, IL 61554
Tazewell County (309) 353-9313
J A K ENTERPRISES INC
Durable Medical Equipment & Medical Supplies
3287 COURT ST
PEKIN, IL 61554
Tazewell County (309) 353-9313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Shelley's NPI number?

The NPI number for Timothy Shelley is 1699762047. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Timothy Shelley located?

Timothy Shelley practices at 3287 Court St, Pekin, IL 61554. The listed phone number is (309) 353-9313.

What is Timothy Shelley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Timothy Shelley was last updated on January 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.