Individual provider Active NPI

Tyler Daniel Wickas, MD

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1063041473
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME162826 Issued in FL
Practice address
6002 Pointe West Blvd
Bradenton, FL 34209-5531
Phone
(941) 792-2020
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME162826 FL Primary

Addresses

Primary practice location

6002 Pointe West Blvd
Bradenton, FL 34209-5531

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

1515 9th Ave N
St Petersburg, FL 33705-1224
Phone (727) 895-2020

Other practice location 2

7915 US Highway 301 N Ste 101
Ellenton, FL 34222-3532
Phone (941) 792-2020

Other practice location 3

3894 Sun City Center Blvd
Sun City Center, FL 33573-6806
Phone (941) 792-2020

Other practice location 4

6807 State Road 70 E
Bradenton, FL 34203-9743
Phone (941) 792-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.numc.edu/contact/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000992 FL Practitioner - Ophthalmology 8527501147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

6002 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Eye Care PA Ophthalmology CurrentSince Apr 25, 2024 Accepting new patients
Suncoast Eye Center PA CurrentSince Sep 18, 2024 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
Suncoast Eye Center PA Ophthalmology CurrentSince Sep 18, 2024 Accepting new patients
Pinellas Eye Care PA Ophthalmology CurrentSince Apr 25, 2024 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Jul 1, 2025 Accepting new patients

Locations

6807 State Road 70 E
Bradenton, FL 34203

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

221 NE US Highway 19
Crystal River, FL 34429
Phone (352) 795-2526

7915 US Highway 301 N
Ste 101
Ellenton, FL 34222
Phone (941) 729-2020

14003 Lakeshore Blvd
Hudson, FL 34667
Phone (727) 868-9442

2650 Tampa Rd
Ste A
Palm Harbor, FL 34684
Phone (727) 785-4419

6036 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 549-2105

1515 9th Ave N
St Petersburg, FL 33705
Phone (727) 835-2020

3894 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-0601

Interoperability endpoints

  • Direct secure messaging: twickas@gulfcoasteye.intellechartdirect.net
  • Direct secure messaging: tyler.wickas.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: tyler.wickas.p1@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 6

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1063041473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095531",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 9th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051224",
            "country_code": "US",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7915 US Highway 301 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ellenton",
            "state": "FL",
            "postal_code": "342223532",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 Sun City Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736806",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6807 State Road 70 E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342039743",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKAS",
        "first_name": "TYLER",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME162826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.numc.edu/contact/",
            "affiliation": "N",
            "endpointDescription": "NUMC Contact",
            "address_1": "2201 Hempstead Tpke",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115541859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.