Individual provider Active NPI

Tyson Neal Allard, O.D.

  • Optometrist
  • Hobart, OK
National Provider Identifier
1013116524
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2637 Issued in OK
Practice address
704 N Hill St
Hobart, OK 73651-1641
Phone
(580) 726-3301
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2637 OK Primary

Addresses

Primary practice location

704 N Hill St
Hobart, OK 73651-1641

Mailing address

704 N Hill St
Hobart, OK 73651-1641
Phone (580) 726-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20130823000876 OK Practitioner - Optometry 2769624998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allard Eye Care PLLCGroup PAC ID 1850533084, 2 clinicians

Practice addresses (Care Compare)

129 N Bradley St
Weatherford, OK 73096-5229
Phone (580) 772-3232

565 S 30TH St
Clinton, OK 73601-3656
Phone (580) 323-5421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2637OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allard Eye Care PLLC Optometrist CurrentSince Feb 20, 2013 Accepting new patients
M. Patrick Day, OD, a Professional Corporation Optometrist Past Accepting new patients

Locations

565 S 30th St
Clinton, OK 73601
Phone (580) 323-5421

704 N Hill St
Hobart, OK 73651
Phone (580) 726-3301

212 S Main St
Hobart, OK 73651
Phone (405) 701-1122

129 N Bradley St
Weatherford, OK 73096
Phone (580) 772-3232

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1013116524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N HILL ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511641",
            "telephone_number": "580-726-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N HILL ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511641",
            "telephone_number": "580-726-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLARD",
        "first_name": "TYSON",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

Verify at the official NPI Registry.