CAROL TILLMAN (OD) – Optometrist, NPI 1770567919
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,909 OPTOMETRY in CA
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Provider Addresses for CAROL TILLMAN (OD)
Arlington Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925063912
Phone: (951) 782-5110
Fax: (951) 274-0403
Type: Mailing
7117 BROCKTON AVE
RIVERSIDE, CA 925062658
Phone: (951) 782-5131
Fax: (951) 784-3258
Type: Mailing
7117, Brockton Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925062615
Phone: (951) 782-5131
Fax: (951) 784-3258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($44).
Total Amount
$44
General + Research + Ownership
Payments
1
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Surgical Vision, Inc. | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070621000446 | I | Optometry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 148 | 148 | $0 |
| 92012 | Established patient problem focused exam of visual system | 29 | 29 | $0 |
Insurance plans in this area (ZIP 92506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| - | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice | CA |
Reviews
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