TIMOTHY GLEN MOORE (O.D.) – Optometrist, NPI 1083672190
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY GLEN MOORE (O.D.)
PO BOX 15349
TALLAHASSEE, FL 323175349
Phone: (850) 383-3322
Type: Mailing
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 323013049
Phone: (850) 383-3322
Type: Location
Centerville Place, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323084342
Phone: (850) 383-3322
Fax: (850) 383-3401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $145.
Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Alcon Vision LLC ($60).
Total Amount
$145
General + Research + Ownership
Payments
4
Total payment records
General Amount
$145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $60 |
| Bausch & Lomb Americas Inc. | $32 |
| Johnson & Johnson Vision Care, Inc. | $31 |
| CooperVision Inc. | $22 |
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: 2010-08-24
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 |
|---|---|---|---|---|
| I20100824000300 | I | Optometry | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| Plastic And Reconstructive Surgery | FL | |
| O P T O M E T R Y | FL | |
| Family Practice | FL | |
| O P T O M E T R Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL |
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