MR. THOMAS ROBERT PICCIRILLI (OD) – Optometrist, NPI 1336185495

MR. THOMAS ROBERT PICCIRILLI (OD) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG001386 (PA). The NPI Number for MR. THOMAS ROBERT PICCIRILLI (OD) is 1336185495

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS ROBERT PICCIRILLI (OD)
NPI
1336185495
Phone
(570) 323-1111
Address
1831 LYCOMING CREEK RD
Enumeration Date
20 June 2006
Last Update Date
25 May 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5707592325
Graduation Year
1988 (38 years ago)
PAC ID
5991706079
Group Practice PAC ID
0749351005
Professional Enrollment ID
I20070117000265
Address ID
PA186034211BE1900XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

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Provider Addresses for MR. THOMAS ROBERT PICCIRILLI (OD)

  • Pudgie's of Williamsport, Lycoming Creek Road, Garden View, Old Lycoming Township, Lycoming County, Pennsylvania, 17702, United States

    WILLIAMSPORT, PA 177011523

    Phone: (570) 323-1111

    Fax: (570) 323-8805

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

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: 2007-01-17

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
I20070117000265IOptometryPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17701)

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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: 0749351005View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
-AZ
O P T O M E T R YAZ
O P T O M E T R YOR
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

Where can patients find MR. THOMAS ROBERT PICCIRILLI (OD)'s NPI?
You can confirm MR. THOMAS ROBERT PICCIRILLI (OD) with NPI 1336185495; it appears in the national provider directory.
Does this profile mean MR. THOMAS ROBERT PICCIRILLI (OD) is currently active?
Yes — MR. THOMAS ROBERT PICCIRILLI (OD) appears active in the national provider directory.
Does MR. THOMAS ROBERT PICCIRILLI (OD) list a primary specialty?
If you are matching referrals, note Optometrist for MR. THOMAS ROBERT PICCIRILLI (OD). Clinical services aligned with this taxonomy classification.
Does MR. THOMAS ROBERT PICCIRILLI (OD) practice in Pennsylvania?
You will see Williamsport, Pennsylvania on file for MR. THOMAS ROBERT PICCIRILLI (OD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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