Individual provider Active NPI

Tyson Hancock, OD

  • Optometrist
  • Brigham City, UT
National Provider Identifier
1205723863
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14224209-9934 Issued in UT
Practice address
547 S Main St
Brigham City, UT 84302-3244
Phone
(435) 723-2144
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14224209-9934 UT Primary

Addresses

Primary practice location

547 S Main St
Brigham City, UT 84302-3244

Mailing address

380 E Yellow Feather Dr
Brigham City, UT 84302-4301
Phone (385) 393-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20250819002528 UT Practitioner - Optometry 6103325865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

380 E Yellow Feather Dr
Brigham City, UT 84302-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Eye & Vision Care, LLC Optometrist CurrentSince Aug 4, 2025 Accepting new patients
Tyson Hancock OD LLC Optometrist CurrentSince Jun 23, 2025 Accepting new patients

Locations

547 S Main St
Brigham City, UT 84302
Phone (435) 723-2144

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 2

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": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1205723863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E YELLOW FEATHER DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024301",
            "telephone_number": "385-393-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 S MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023244",
            "telephone_number": "435-723-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "TYSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "14224209-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.