Robert Marc Tyszko

Primary specialty

OptometristTaxonomy code 152W00000X

License

726 Issued in NH

Legal business name

ROBERT MARC TYSZKO

Doing business as

Robert Tyszko, O.D., P.L.L.C.

Practice address

129 Wilton Rd
Peterborough, NH 03458-1749

Phone

(603) 924-9591

Fax

(603) 924-9593

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Marc Tyszko, ODNPI 1467486852

Title

Optometrist

Phone

(603) 924-9591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Tyszko, O.D., P.L.L.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Practitioners 4

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

• Robert Marc Tyszko

  • Optometrist
  • Peterborough, NH
  • NPI 1467486852
  Medicare reassignment Care Compare group NPD Authorized official
• Linda Squillace Gilligan, OD

  • Optometrist
  • Petersborough, NH
  • NPI 1649264805
  Medicare reassignment Care Compare group NPD
• Julie M Le, OD

  • Optometrist
  • Lowell, MA
  • NPI 1306802178

  NH

  Medicare reassignment NPD
• John Frederick Minteer, O.D.

  • Optometrist
  • Peterborough, NH
  • NPI 1295848455
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1023245305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WILTON RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581749",
            "telephone_number": "603-924-9591",
            "fax_number": "603-924-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WILTON RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581749",
            "telephone_number": "603-924-9591",
            "fax_number": "603-924-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MARC TYSZKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "TYSZKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "603-924-9591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30354215",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Tyszko, O.D., P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samuel Rosario, LICSW
• Daniel Ralph Salvadore II, PA-C
• Kendra M Sandford

• Optometrist in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.