TIMOTHY JOHN SMITH (O.D.) – Optometrist, NPI 1356573141

TIMOTHY JOHN SMITH (O.D.) is a healthcare provider. based in Dover, Delaware. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. I3-0001338 (DE). The NPI Number for TIMOTHY JOHN SMITH (O.D.) is 1356573141

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JOHN SMITH (O.D.)
NPI
1356573141
Phone
(302) 734-1472
Address
885 S GOVERNORS AVE
Enumeration Date
13 August 2009
Last Update Date
13 September 2010

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3026842020
Graduation Year
2009 (17 years ago)
PAC ID
8820281793
Group Practice PAC ID
1557436615
Professional Enrollment ID
I20101023000125
Address ID
DE199683117MI28322HWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

140 OPTOMETRY in DE

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Provider Addresses for TIMOTHY JOHN SMITH (O.D.)

  • South Governors Avenue, Morris Estates, Dover, Kent County, Delaware, 19904, United States

    DOVER, DE 199044158

    Phone: (302) 734-1472

    Fax: (302) 734-1921

    Mailing address matches the actual address.

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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Dompe US, Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dompe US, Inc.$30
View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101023000125IOptometryDETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1,8321,718$0
92133Imaging of optic nerve1,3381,040$0
92012Established patient problem focused exam of visual system1,241921$0
92134Imaging of retina1,110901$0
92083Exam of visual field with extended testing498419$0
View full utilization report →

Insurance plans in this area (ZIP 19904)

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Provider's Procedures

TIMOTHY JOHN SMITH (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYDE92083Measurement of field of vision during daylight conditions2727
OPTOMETRYDE92134Diagnostic imaging of retina2220

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: 1557436615View full group profile
NameSpecialtyState
O P T O M E T R YDE
O P H T H A L M O L O G YDE
-DE
O P T O M E T R YDE

Reviews

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Frequently asked questions

What unique ID ties claims to TIMOTHY JOHN SMITH (O.D.)?
NPI 1356573141 is assigned to TIMOTHY JOHN SMITH (O.D.) under the national enumeration system.
Is TIMOTHY JOHN SMITH (O.D.)'s NPI currently valid?
The extract we use shows TIMOTHY JOHN SMITH (O.D.) as active.
Can you summarize TIMOTHY JOHN SMITH (O.D.)'s specialty in plain language?
Clinically, the directory lists TIMOTHY JOHN SMITH (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does TIMOTHY JOHN SMITH (O.D.) practice in Delaware?
You will see Dover, Delaware on file for TIMOTHY JOHN SMITH (O.D.) alongside any extra practice locations.
Is TIMOTHY JOHN SMITH (O.D.) a real provider?
This page reflects official NPPES data for NPI 1356573141. Always confirm identity and privileges with the practice and licensing boards.

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