Tyler Dean, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003462 Issued in PA

Practice address

400 7TH St
Ellwood City, PA 16117-2021

Phone

(724) 758-6338

NPI assigned

Aug 6, 2018

Sex

Male

Sole proprietor

Yes

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 PA

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

Pennsylvania College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Family Eye CareGroup PAC ID 7012215395, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Advanced Family Eye Care

  • Optometrist
  • Ellwood City, PA
  • NPI 1538527023
  Medicare reassignment Care Compare group NPD
• Gerald G. Soltis,O.D.

  • Eyewear Supplier
  • Zelienople, PA
  • NPI 1477739134
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1164900775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 7TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172021",
            "telephone_number": "724-758-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 7TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172021",
            "telephone_number": "724-758-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "TYLER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kala Cunningham, MA, LPC
• Kelley M Davis, BSAT, ATC
• Mary Joe Davis, M.A., L.P.C.
• Megan Lee Davis, MA, CCC-SLP
• Sharon R Dawso, M.D.
• Mark William Deitrick, LPC
• Walter Dale Dickson, DPM
• Doctor Bella & Associates PC
• Dolter Chiropractic
• Larry Lester Dolter, DC

• Optometrist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.