DR. TIMOTHY GLENN MOCK (O.D.) – Optometrist, NPI 1063961654

DR. TIMOTHY GLENN MOCK (O.D.) is a healthcare provider. based in Seattle, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 100382 (ID). The NPI Number for DR. TIMOTHY GLENN MOCK (O.D.) is 1063961654

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY GLENN MOCK (O.D.)
NPI
1063961654
Phone
(206) 215-2020
Address
1101 MADISON ST STE 600
Enumeration Date
24 September 2016
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2062122100
Graduation Year
2016 (10 years ago)
PAC ID
1153669890
Group Practice PAC ID
3173410057
Professional Enrollment ID
I20221003002936
Address ID
WA980038714FE34719SXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:9State licenses:3Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for DR. TIMOTHY GLENN MOCK (O.D.)

  • 1101 MADISON ST STE 600

    SEATTLE, WA 981041340

    Phone: (206) 215-2020

    Fax: (206) 215-2022

    Type: Location

  • North Indian Trail Road, Spokane, Spokane County, Washington, 99208, United States

    SPOKANE, WA 992089126

    Phone:

    Type: Mailing

  • Mann-Grandstaff VA Medical Center, 4815, North Assembly Street, Spokane, Spokane County, Washington, 99205, United States

    SPOKANE, WA 992056185

    Phone: (509) 434-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,468.

Total Amount is formed as General ($1,468) + Research ($0) + Ownership ($0) = $1,468.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dompe US, Inc. ($332).

Total Amount

$1,468

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-10-03

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
I20221003002936IOptometryWATBD

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 minutes9569$0
92014Established patient complete exam of visual system8181$0
92250Photography of the retina3837$0
92004New patient complete exam of visual system3131$0
92083Exam of visual field with extended testing1414$0
View full utilization report →

Insurance plans in this area (ZIP 98104)

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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: 3173410057View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P T O M E T R YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P T O M E T R YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YCA
O P T O M E T R YWA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TIMOTHY GLENN MOCK (O.D.)'s NPI?
Yes. DR. TIMOTHY GLENN MOCK (O.D.) is listed with NPI 1063961654 in the public NPI dataset.
Is DR. TIMOTHY GLENN MOCK (O.D.) listed as active for patients and plans?
The listing shows DR. TIMOTHY GLENN MOCK (O.D.) as active in the NPI system.
What is DR. TIMOTHY GLENN MOCK (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. TIMOTHY GLENN MOCK (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. TIMOTHY GLENN MOCK (O.D.) based?
DR. TIMOTHY GLENN MOCK (O.D.) is tied to Seattle, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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