Tyler W Glaze, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2653 Issued in OK

Practice address

16135 N May Ave
Suite a
Edmond, OK 73013-8976

Phone

(405) 751-5638

Fax

(405) 752-1692

NPI assigned

Jul 16, 2010

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 OK

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyesguys LLCGroup PAC ID 1456518745, 5 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 and National Provider Directory roles.

• Eyesguys LLC

  • Optometrist
  • Edmond, OK
  • NPI 1104195825
  Medicare reassignment Care Compare group Authorized official
• Eye Health Associates, P.L.L.C.

  • Optometrist
  • Lawton, OK
  • NPI 1982618534
  Medicare reassignment NPD

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1285947432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138976",
            "telephone_number": "405-626-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138976",
            "telephone_number": "405-751-5638",
            "fax_number": "405-752-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "TYLER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glacier Medical Supply, Inc.
• Glacier Podiatry Clinics LLC
• Zane Glasgow
• Michael Lee Glass, MD
• Glaucoma Surgeons of Oklahoma PLLC
• Laurel Michelle Glendening, PT
• Glenn Koester, M.D., P.C.
• Gloria L. So-Lloyd, PH.D., P.C.
• Glostars LLC
• Calli Nicole Glover

• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.