TIMOTHY BLAKE SULLINS OD
NPI 1023908787
Optometrist in Athens, TN

Q: What is Timothy Sullins's NPI number?

The NPI number for Timothy Sullins is 1023908787. It was assigned to this individual provider in the NPPES registry on July 5, 2025.

Q: What is Timothy Sullins's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Sullins was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2025PECOS EnrolledAccepts Medicare Assignment

517 N JACKSON ST, ATHENS, TN 37303(423) 745-4910 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy Blake Sullins Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY BLAKE SULLINS OD (NPI 1023908787) is an individual optometrist in Athens, Tennessee, licensed in Tennessee (3952) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madisonville, and is a graduate of Southern College Of Optometry (2025).

NPPES Registry Identity

NPI1023908787

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTIMOTHY BLAKE SULLINSCredential: OD

Location Address517 N JACKSON STAthens, TN 37303-3621

Mailing Address517 N Jackson StAthens, TN 37303-3621

Phone(423) 745-4910

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2025

Enumeration DateJuly 5, 2025

NPPES CertifiedJuly 5, 2025

✔ NPI 1023908787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TN · 3952

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

517 N JACKSON ST, Athens, TN 37303

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Secondary Practice Location 1

Location 1620 Englewood RdMadisonville, TN 37354-1218 · Phone (423) 442-2806

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Blake Sullins Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961918776

PECOS Enrollment IDI20250718003416

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM DAVID SULLINS III O.D.

Optometrist