DR. TIMOTHY J FAHY (O.D.) – Optometrist, NPI 1952423139

DR. TIMOTHY J FAHY (O.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 046-007793 (IL). The NPI Number for DR. TIMOTHY J FAHY (O.D.) is 1952423139

Main info

Male
Sole Proprietor
Name
DR. TIMOTHY J FAHY (O.D.)
NPI
1952423139
Phone
(773) 685-0363
Address
5943 W MONTROSE AVE
Enumeration Date
6 April 2007
Last Update Date
30 April 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. TIMOTHY J FAHY (O.D.)

  • 5943 W MONTROSE AVE

    CHICAGO, IL 606341629

    Phone: (773) 685-0363

    Fax: (773) 685-0944

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-07-02

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
I20120702000217IOptometryILTBD

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 60634)

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Provider's Procedures

DR. TIMOTHY J FAHY (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient3929

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Frequently asked questions

What NPI should I save for DR. TIMOTHY J FAHY (O.D.)?
Save NPI 1952423139 if you need a stable reference for DR. TIMOTHY J FAHY (O.D.).
Is DR. TIMOTHY J FAHY (O.D.) active in the national directory?
DR. TIMOTHY J FAHY (O.D.)'s public NPI profile is in an active state.
What kind of provider is DR. TIMOTHY J FAHY (O.D.)?
The page reflects Optometrist for DR. TIMOTHY J FAHY (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TIMOTHY J FAHY (O.D.)?
The page summarizes Chicago, Illinois for DR. TIMOTHY J FAHY (O.D.); expand the address list for detail.
Is DR. TIMOTHY J FAHY (O.D.) a real provider?
This page reflects official NPPES data for NPI 1952423139. Always confirm identity and privileges with the practice and licensing boards.

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