Tyler Paul Zaugg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

100535 Issued in ID

Practice address

1205 E 6TH St
Moscow, ID 83843-3705

Phone

(208) 882-3434

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By 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 ID

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

Pacific University - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eyecare of Blackfoot PLLCGroup PAC ID 3476604877, 2 clinicians

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.

• Advanced Eyecare of Blackfoot PLLC

  • Optometrist
  • Blackfoot, ID
  • NPI 1568610574
  Medicare reassignment Care Compare group NPD
• Moscow Family Eye Care Inc.

  dba Moscow Family Eye Care

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1467885558
  Medicare reassignment
• Jason N Hurley O.D., PC

  dba EyeCare of Rigby

  • Optometrist
  • Rigby, ID
  • NPI 1629272323
  NPD (past)
• Paris Investments LLC

  dba Paris Vision Center

  • Optometrist
  • Moscow, ID
  • NPI 1295875433
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1215507629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E 6TH ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433705",
            "telephone_number": "208-882-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 6TH ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433705",
            "telephone_number": "208-882-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUGG",
        "first_name": "TYLER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Ann Rae York, RPH, PHARM. D.
• Lue Shawntel Inez Yost, ARNP, FNP
• Brittany Janel Young
• Ellie Young
• Danielle D Zahn
• Lingwen Zhang
• Noah Ziemann
• Allison Lea Zimms
• Stacie Zollman
• Chantel Zuercher, LPC, NCC

• Optometrist in Moscow, ID
• Providers in Moscow, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.