Tyler N Tinsley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2004003243 Issued in MO

Practice address

2400 Lucy Lee Pkwy Ste E
Poplar Bluff, MO 63901-2427

Phone

(573) 686-3991

Fax

(573) 686-3992

NPI assigned

Mar 14, 2006

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tyler N Kramer Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri St Louis - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Kramer Family Vision

  dba InSight Eye

  • Optometrist
  • Poplar Bluff, MO
  • NPI 1326228578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1114996220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PKWY STE E",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012427",
            "telephone_number": "573-686-3991",
            "fax_number": "573-686-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PKWY STE E",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012427",
            "telephone_number": "573-686-3991",
            "fax_number": "573-686-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "TYLER",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004003243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314467705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "KRAMER",
            "middle_name": "N",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tinsley Home Medical Services, LLC
• Tinsley Medical Clinic
• Austin R Tinsley
• Samantha Elizabeth Tinsley
• Stefanie Janell Tinsley, PTA
• Natalie Tippen, PLPC
• Patricia Lynn Tittle, RD, LD
• Brenda Delores Todd, RN
• Ericka Lee Tomlinson, RASACI
• Carisa Tompkins, PHARM.D.

• Optometrist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.