Tyler M. Amos O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S999TA565 Issued in AL

Legal business name

TYLER M. AMOS O.D., P.C.

Practice address

184 Old Highway 431
Suite C
Owens Cross Roads, AL 35763-9281

Phone

(256) 469-6073

Fax

(256) 469-6085

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Mark Amos, O.D.NPI 1568454601

Title

Optometrist/ Owner

Phone

(256) 469-6073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler M Amos, OD

  • Optometrist
  • Owens Cross Roads, AL
  • NPI 1568454601
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1013281104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 OLD HIGHWAY 431",
            "address_2": "SUITE C",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639281",
            "telephone_number": "256-469-6073",
            "fax_number": "256-469-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 OLD HIGHWAY 431",
            "address_2": "SUITE C",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639281",
            "telephone_number": "256-469-6073",
            "fax_number": "256-469-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER M. AMOS O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "256-469-6073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S999TA565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.