TODD RYAN DIMMICK (OD) – Optometrist, NPI 1114273273

TODD RYAN DIMMICK (OD) is a healthcare provider. based in Melbourne, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG002688 (PA). The NPI Number for TODD RYAN DIMMICK (OD) is 1114273273

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TODD RYAN DIMMICK (OD)
NPI
1114273273
Phone
(321) 725-4755
Address
2420 S BABCOCK ST
Enumeration Date
26 July 2012
Last Update Date
29 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217520100
Graduation Year
2012 (14 years ago)
PAC ID
1850548827
Group Practice PAC ID
3870960032
Professional Enrollment ID
I20130927000066
Address ID
FL329407918ME7905XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for TODD RYAN DIMMICK (OD)

  • 2420 S BABCOCK ST

    MELBOURNE, FL 329015356

    Phone: (321) 725-4755

    Fax: (321) 725-5088

    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 3 Open Payments records for all available years, with a total value of $297.

Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($129).

Total Amount

$297

General + Research + Ownership

Payments

3

Total payment records

General Amount

$297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-09-27

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
I20130927000066IOptometryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8958$0
92014Established patient complete exam of visual system7070$0
99212Established patient office or other outpatient visit, 10-19 minutes3224$0
92004New patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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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: 3870960032View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YAZ
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Where can patients find TODD RYAN DIMMICK (OD)'s NPI?
You can confirm TODD RYAN DIMMICK (OD) with NPI 1114273273; it appears in the national provider directory.
Does this profile mean TODD RYAN DIMMICK (OD) is currently active?
Yes — TODD RYAN DIMMICK (OD) appears active in the national provider directory.
Can you summarize TODD RYAN DIMMICK (OD)'s specialty in plain language?
Clinically, the directory lists TODD RYAN DIMMICK (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does TODD RYAN DIMMICK (OD) practice in Florida?
You will see Melbourne, Florida on file for TODD RYAN DIMMICK (OD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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