GLENN ALLEN COFFIN (OD) – Optometrist, NPI 1053892943

GLENN ALLEN COFFIN (OD) is a healthcare provider. based in Chesapeake, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002731 (VA). The NPI Number for GLENN ALLEN COFFIN (OD) is 1053892943

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
GLENN ALLEN COFFIN (OD)
NPI
1053892943
Phone
(757) 880-1615
Address
1100 AMBERDALE DR
Enumeration Date
28 August 2018
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7574255550
Graduation Year
2018 (8 years ago)
PAC ID
0042643561
Group Practice PAC ID
8921064460
Professional Enrollment ID
I20191213000845
Address ID
VA234542217VI1201XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,977 OPTOMETRY in NY

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Provider Addresses for GLENN ALLEN COFFIN (OD)

  • 1100, Amberdale Drive, Chesapeake, Virginia, 23322, United States

    CHESAPEAKE, VA 233227784

    Phone: (757) 880-1615

    Type: Mailing

  • Vestal Parkway East, Twin Orchard, Vestal, Vestal Town, Broome County, New York, 13850, United States

    VESTAL, NY 138502066

    Phone: (607) 217-5169

    Type: Location

  • 1201 FIRST COLONIAL RD

    VIRGINIA BEACH, VA 234542217

    Phone: (757) 425-5550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $3,766.

Total Amount is formed as General ($3,766) + Research ($0) + Ownership ($0) = $3,766.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($2,092).

Total Amount

$3,766

General + Research + Ownership

Payments

70

Total payment records

General Amount

$3,766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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: 2019-12-13

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
I20191213000845IOptometryVATBD

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
92014Established patient complete exam of visual system294281$0
92250Photography of the retina196187$0
99213Established patient office or other outpatient visit, 20-29 minutes10994$0
83861Microfluid analysis of tears10045$0
99214Established patient office or other outpatient visit, 30-39 minutes8268$0
View full utilization report →

Insurance plans in this area (ZIP 23322)

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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: 8921064460View full group profile
NameSpecialtyState
O P T O M E T R YVA
-VA
O P T O M E T R YVA
O P T O M E T R YAP
O P H T H A L M O L O G YLA
O P T O M E T R YVA
O P H T H A L M O L O G YVA
-VA
O P T O M E T R YVA
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

What federal number belongs to GLENN ALLEN COFFIN (OD)?
The federal identifier for GLENN ALLEN COFFIN (OD) is NPI 1053892943.
Is GLENN ALLEN COFFIN (OD) active in the national directory?
GLENN ALLEN COFFIN (OD)'s public NPI profile is in an active state.
What does GLENN ALLEN COFFIN (OD) treat or focus on?
Patients typically see GLENN ALLEN COFFIN (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is GLENN ALLEN COFFIN (OD)'s primary listing?
We display Chesapeake, Virginia because that is what the record indicates for GLENN ALLEN COFFIN (OD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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