FREDERICK W TILLMAN (O.D.) – Optometrist, NPI 1902976061

FREDERICK W TILLMAN (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT000968 (GA). The NPI Number for FREDERICK W TILLMAN (O.D.) is 1902976061

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK W TILLMAN (O.D.)
NPI
1902976061
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
8 November 2006
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9125540010
Graduation Year
1981 (45 years ago)
PAC ID
5991878225
Group Practice PAC ID
8224261201
Professional Enrollment ID
I20080721000353
Address ID
GA315202912BR4875XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

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Provider Addresses for FREDERICK W TILLMAN (O.D.)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 806, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States

    CARROLLTON, GA 301174416

    Phone: (770) 834-2071

    Fax: (770) 834-1007

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $374.

Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($167).

Total Amount

$374

General + Research + Ownership

Payments

11

Total payment records

General Amount

$374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2008-07-21

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
I20080721000353IOptometryGATBD

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 system184183$0
99212Established patient office or other outpatient visit, 10-19 minutes11275$0
92134Imaging of retina9983$0
92250Photography of the retina9695$0
92273Measurement of retinal and optic nerve function4542$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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Provider's Procedures

FREDERICK W TILLMAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYGA92083Measurement of field of vision during daylight conditions6361
OPTOMETRYGA92134Diagnostic imaging of retina351289

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: 8224261201View full group profile

Reviews

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Frequently asked questions

Can I verify FREDERICK W TILLMAN (O.D.) with an NPI only?
You can start verification with NPI 1902976061 for FREDERICK W TILLMAN (O.D.), then check state licensing separately.
Does CMS list FREDERICK W TILLMAN (O.D.) as active?
Yes — FREDERICK W TILLMAN (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes FREDERICK W TILLMAN (O.D.)?
For research purposes, treat FREDERICK W TILLMAN (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does FREDERICK W TILLMAN (O.D.) list a practice location?
Patients near Vienna, Virginia may find FREDERICK W TILLMAN (O.D.) in results; validate coverage separately.
Why does FREDERICK W TILLMAN (O.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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