PAUL DARWIN MORMON (OD) – Optometrist, NPI 1699768887

PAUL DARWIN MORMON (OD) is a healthcare provider. based in Germantown, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2254 (TN). The NPI Number for PAUL DARWIN MORMON (OD) is 1699768887

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
PAUL DARWIN MORMON (OD)
NPI
1699768887
Phone
(901) 757-2020
Address
9031 VALLEY CREST LN
Enumeration Date
24 August 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9014653130
Graduation Year
2001 (25 years ago)
PAC ID
7517926082
Group Practice PAC ID
2567886062
Professional Enrollment ID
I20041008001145
Address ID
TN380283370EA3161X64XX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for PAUL DARWIN MORMON (OD)

  • 9031 VALLEY CREST LN

    GERMANTOWN, TN 381387829

    Phone: (901) 757-2020

    Fax: (901) 751-2399

    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 27 Open Payments records for all available years, with a total value of $3,481.

Total Amount is formed as General ($3,481) + Research ($0) + Ownership ($0) = $3,481.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($2,313).

Total Amount

$3,481

General + Research + Ownership

Payments

27

Total payment records

General Amount

$3,481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2025-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20041008001145IOptometryTNTBD
I20210524001668IOptometryALTBD
I20250312001061IOptometryMETBD

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 minutes140131$0
99212Established patient office or other outpatient visit, 10-19 minutes3632$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
92134Imaging of retina1413$0
92133Imaging of optic nerve1211$0
View full utilization report →

Insurance plans in this area (ZIP 38138)

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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: 2567886062View full group profile
NameSpecialtyState
O P T O M E T R YTN

Reviews

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Frequently asked questions

What federal number belongs to PAUL DARWIN MORMON (OD)?
The federal identifier for PAUL DARWIN MORMON (OD) is NPI 1699768887.
Is PAUL DARWIN MORMON (OD) currently active in the NPI registry?
CMS-published data lists PAUL DARWIN MORMON (OD) as an active registrant.
What field does PAUL DARWIN MORMON (OD) work in?
You can think of PAUL DARWIN MORMON (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place PAUL DARWIN MORMON (OD)?
The snapshot lists Germantown, Tennessee for PAUL DARWIN MORMON (OD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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