Tyler James Kull, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35671 Issued in CA

Practice address

4000 Calle Tecate Ste 100
Camarillo, CA 93012-5283

Phone

(805) 482-1136

NPI assigned

Jun 3, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Trinh Optometry IncGroup PAC ID 0840485975, 2 clinicians

Practice addresses (Care Compare)

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.

• M. Trinh Optometry Inc

  dba All Eyecare Optometry

  • Optometrist
  • Westlake Village, CA
  • NPI 1134432776
  Medicare reassignment Care Compare group NPD
• Dean Amundsen,O.D. Professional Optometry Corp.

  • Optometrist
  • Camarillo, CA
  • NPI 1750353637
  Medicare reassignment NPD
• Ronald L. Goldstein, O.D.

  • Optometrist
  • Thousand Oaks, CA
  • NPI 1255525192
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1134960487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125283",
            "telephone_number": "805-482-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125283",
            "telephone_number": "805-482-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Hampshire Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913612408",
            "country_code": "US",
            "telephone_number": "805-495-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULL",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Kraft, OTRL
• Tatianna Kraft
• Kayla Kraich
• Yvonne Suzanne Kramer, RN
• Evonne Marie Kuchera, R.N.
• Marcia Kullback
• Hany M Kurdi, DDS
• Jennifer Susan Kwast, M.A.,CCC-A
• L E Brand, MD Corporation
• Hubert Real La Freniere, AMFT

• Optometrist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.