DR. TIMOTHY GLENN SPENCE (O.D.) – Optometrist, NPI 1073573788
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
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Provider Addresses for DR. TIMOTHY GLENN SPENCE (O.D.)
4330 JOHNS CREEK PKWY
SUITE 300
SUWANEE, GA 300246120
Phone: (770) 232-7844
Fax: (770) 232-9455
Type: Mailing
Tan.ya Spray Tan Alpharetta at Salons by JC, 10955, Jones Bridge Road, Johns Creek, Fulton County, Georgia, 30022, United States
SUITE 200
ALPHARETTA, GA 30022
Phone: (770) 475-1242
Fax: (770) 475-1032
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $402.
Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: CooperVision Inc. ($205).
Total Amount
$402
General + Research + Ownership
Payments
10
Total payment records
General Amount
$402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $205 |
| Alcon Vision LLC | $165 |
| Bausch & Lomb Americas Inc. | $18 |
| Johnson & Johnson Vision Care, Inc. | $14 |
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: 2005-05-18
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 |
|---|---|---|---|---|
| I20050518000510 | I | Optometry | GA | 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 | 248 | 232 | $0 |
| 92250 | Photography of the retina | 244 | 234 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 42 | $0 |
| 92004 | New patient complete exam of visual system | 49 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 26 | $0 |
Insurance plans in this area (ZIP 30024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA |
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