DR. MARSHALL PERRY TILLMAN (O.D.) – Optometrist, NPI 1245349919
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARSHALL PERRY TILLMAN (O.D.)
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442
Phone: (703) 847-8899
Type: Mailing
812 W WADE HAMPTON BLVD
GREER, SC 296501309
Phone: (864) 877-1825
Type: Location
Walmart Supercenter, 1752, North Frontage Road, Hastings, Dakota County, Minnesota, 55033, United States
HASTINGS, MN 550333490
Phone: (651) 438-5474
Fax: (651) 438-5954
Type: Location
3766, Ridgewood Drive, Eagan, Dakota County, Minnesota, 55123, United States
EAGAN, MN 551231321
Phone: (651) 405-9291
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-07-05 • Largest payer in this snapshot: CooperVision Inc. ($29).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $29 |
| Bausch & Lomb Americas Inc. | $17 |
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: 2022-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220906002831 | I | Optometry | SC | TBD |
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.
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 22182)
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