Individual provider Active NPI

Tyler Groce, O.D.

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1245669969
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2332 Issued in NC
Practice address
800 S Stratford Rd
Winston Salem, NC 27103-3202
Phone
(336) 765-5788
Fax
(336) 765-5584
NPI assigned
Nov 4, 2013
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2332 NC Primary

Addresses

Primary practice location

800 S Stratford Rd
Winston Salem, NC 27103-3202

Mailing address

902 W Main St
Yadkinville, NC 27055-7807
Phone (336) 679-2931

Other practice location 1

1575 NC 66 South
Kernersville, NC 27284
Phone (336) 993-8514

Other practice location 2

902 W Main St
Yadkinville, NC 27055-7807
Phone (336) 679-2931

Other practice location 3

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140207000087 NC Practitioner - Optometry 1052540317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 Stadium Dr
Suite D
Clemmons, NC 27012-8766
Phone (336) 766-7373

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2332NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Mar 14, 2019 Accepting new patients
Tyler Groce OD, PLLC Optometrist CurrentSince Jun 15, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

6301 Stadium Dr
Ste D
Clemmons, NC 27012
Phone (336) 766-7373

1575 NC Highway 66 S
Kernersville, NC 27284
Phone (336) 933-8514

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

3001 Raleigh Rd W
Wilson, NC 27896
Phone (252) 291-0767

2630 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 785-3486

500 W 4th St
Winston Salem, NC 27101
Phone (336) 723-1140

500 W 4th St
Ste 102
Winston Salem, NC 27101
Phone (336) 837-3937

800 S Stratford Rd
Winston Salem, NC 27103
Phone (336) 765-5788

Interoperability endpoints

  • Direct secure messaging: tylergroce@direct.eyecare-partners.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1245669969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557807",
            "telephone_number": "336-679-2931",
            "fax_number": "336-677-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S STRATFORD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033202",
            "telephone_number": "336-765-5788",
            "fax_number": "336-765-5584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 NC 66 South",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "27284",
            "country_code": "US",
            "telephone_number": "336-993-8514",
            "fax_number": "336-993-6950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 W Main St",
            "address_purpose": "LOCATION",
            "city": "Yadkinville",
            "state": "NC",
            "postal_code": "270557807",
            "country_code": "US",
            "telephone_number": "336-679-2931",
            "fax_number": "336-677-6486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 Peters Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271275655",
            "country_code": "US",
            "telephone_number": "336-785-3486",
            "fax_number": "336-785-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROCE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.