MEDICARE: TIMOTHY O'LEARY, OD, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3748 T582	OH

General Provider Information

NPI Number	:	1316136765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY O'LEARY, OD, INC.

Provider Business Mailing Address
First Line	:	PO BOX 8385
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-0385
Country	:	US
Telephone Number	:	513-321-2015
Fax Number	:	513-321-8732

Provider Business Practice Location Address
First Line	:	2975 LINWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2938
Country	:	US
Telephone Number	:	513-321-2015
Fax Number	:	513-321-8732

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TIMOTHY O'LEARY
Credential	:	O.D.
Telephone Number	:	513-321-2015

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	05/08/2026

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