Individual provider Active NPI

Tyler Thill

  • Optometrist
  • Springfield, MO
National Provider Identifier
1275154106
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020017115 Issued in MO
Practice address
1229 E Seminole St Ste 430
Springfield, MO 65804-2227
Phone
(417) 820-9393
NPI assigned
May 1, 2020
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3101 OK
Optometrist 152W00000X 2020017115 MO Primary

Addresses

Primary practice location

1229 E Seminole St Ste 430
Springfield, MO 65804-2227

Mailing address

1229 E Seminole St Ste 430
Springfield, MO 65804-2227
Phone (417) 820-9393

Other practice location 1

1850 W Republic Rd
Springfield, MO 65807-5730
Phone (417) 891-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220716000379 MO Practitioner - Optometry 5193106599 Reassigns benefits to 3 organizations
I20240528001955 IL Practitioner - Optometry 5193106599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Vision Services LLCGroup PAC ID 2365534005, 5 clinicians

Practice addresses (Care Compare)

112 Magnolia Dr
Glen Carbon, IL 62034-1595
Phone (314) 567-7771

12601 Olive Blvd
Creve Coeur, MO 63141-6313
Phone (314) 567-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3101OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Springfield Current Accepting new patients
Mercy Clinic Springfield Communities Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Mercy Clinic Springfield Communities Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Hill Vision Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 25, 2022 Accepting new patients

Locations

112 Magnolia Dr
Glen Carbon, IL 62034
Phone (314) 567-7771

448 State Highway 248
Ste 160
Branson, MO 65616
Phone (417) 213-4696

2101 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (314) 567-7771

300 Medical Plz
Ste 140
Lake St Louis, MO 63367
Phone (314) 567-7771

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

12601 Olive Blvd
Saint Louis, MO 63141
Phone (314) 878-2222

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: tthill@hillvisionservices.direct.eyemdemr.com

Organizations & group practices 5

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1275154106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E SEMINOLE ST STE 430",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042227",
            "telephone_number": "417-820-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 E SEMINOLE ST STE 430",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042227",
            "telephone_number": "417-820-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 W Republic Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075730",
            "country_code": "US",
            "telephone_number": "417-891-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THILL",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3101",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020017115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.