DR. TIMOTHY DANE SHELLEY (O.D.) – Optometrist, NPI 1699762047

DR. TIMOTHY DANE SHELLEY (O.D.) is a healthcare provider. based in Peoria, Illinois. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 046006644 (IL). The NPI Number for DR. TIMOTHY DANE SHELLEY (O.D.) is 1699762047

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY DANE SHELLEY (O.D.)
NPI
1699762047
Phone
(309) 693-9540
Address
8309 N KNOXVILLE AVE
Enumeration Date
30 September 2005
Last Update Date
10 January 2014

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
3094442277
Graduation Year
1978 (48 years ago)
PAC ID
0840288551
Group Practice PAC ID
3173519014
Professional Enrollment ID
I20040503000760
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TIMOTHY DANE SHELLEY (O.D.)

  • 8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616152170

    Phone: (309) 693-9540

    Fax: (309) 693-9542

    Type: Mailing

  • Court Street, Downtown Business District, Pekin, Tazewell County, Illinois, 61554, United States

    PEKIN, IL 615546208

    Phone: (309) 353-9313

    Fax: (309) 353-4962

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61615)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173519014View full group profile
NameSpecialtyState
MOLLY GUITHUES (O.D.)
O P T O M E T R YIL
DR. SHWETA R HARVI (OD)
O P T O M E T R YIL
Unknown Individual
-IL
DR. YOLANDA ARCE-MONTIJO (O.D.)
O P T O M E T R YIL
TESIA REED (OD)
O P T O M E T R YIL
Unknown Individual
-IL
DR. RONALD L RICHMOND (O.D.)
-IL
DR. BRIAN D HENSON (O.D.)
O P T O M E T R YIL
RHONDA V DAMERON (O.D.)
O P T O M E T R YIL
SABRINA M SHULTZ (OD)
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TIMOTHY DANE SHELLEY (O.D.)?
DR. TIMOTHY DANE SHELLEY (O.D.) — NPI 1699762047 — is the standard way to identify this listing.
Can I rely on DR. TIMOTHY DANE SHELLEY (O.D.) being an active provider?
As of the registry snapshot, DR. TIMOTHY DANE SHELLEY (O.D.) is marked active.
What is DR. TIMOTHY DANE SHELLEY (O.D.) best known for clinically?
Directory data describes DR. TIMOTHY DANE SHELLEY (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. TIMOTHY DANE SHELLEY (O.D.) serve?
DR. TIMOTHY DANE SHELLEY (O.D.)'s listing highlights Peoria, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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