Timothy Blake Sullins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3952 Issued in TN

Practice address

517 N Jackson St
Athens, TN 37303-3621

Phone

(423) 745-4910

NPI assigned

Jul 5, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sullins Eye Care P.C.Group PAC ID 9436241304, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• MS PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sullins Eye Care P.C.

  • Optometrist
  • Athens, TN
  • NPI 1841351269
  Medicare reassignment Care Compare group NPD
• Sullins Eye Care P.C.

  • Optometrist
  • Madisonville, TN
  • NPI 1720142771
  NPD
• Athens Eye Care Center, P.C.

  • Optometrist
  • Athens, AL
  • NPI 1881781268
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1023908787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N JACKSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N JACKSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033621",
            "telephone_number": "423-745-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Englewood Rd",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TN",
            "postal_code": "373541218",
            "country_code": "US",
            "telephone_number": "423-442-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLINS",
        "first_name": "TIMOTHY",
        "middle_name": "BLAKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-05",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Suckow, LMSW
• Sullins Eye Care P.C.
• Christa H Sullins, OD
• Katherine Petrinjak Sullins, OD
• Stuart Sullins, O.D.
• William David Sullins III, O.D.
• Michael P Sumida, M.D.
• Summit Medical Group, PLLC
• Daniel Surman
• Suncica Sunshine Svalina, DPT

• Optometrist in Athens, TN
• Providers in Athens, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.