Individual provider Active NPI

Tyrone Diggs, OD

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1336890201
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2162 Issued in KS
Practice address
8925 Metcalf Ave
Overland Park, KS 66212
Phone
(913) 261-9985
NPI assigned
Jan 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2162 KS Primary

Addresses

Primary practice location

8925 Metcalf Ave
Overland Park, KS 66212

Mailing address

10120 W 119TH St
Overland Park, KS 66213-1600

Other practice location 1

10120 W 119th St
Overland Park, KS 66213-1600
Phone (913) 339-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220125002581 KS Practitioner - Optometry 4789076787 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Overland Park PAGroup PAC ID 3375515596, 10 clinicians
Eye Associates of Leawood PAGroup PAC ID 8325139926, 6 clinicians
Eye Associates of Olathe PAGroup PAC ID 4284606492, 9 clinicians
Eye Associates of South OlatheGroup PAC ID 1850514068, 5 clinicians
Eye Associates of Prairie Village,PAGroup PAC ID 3072761147, 2 clinicians
Eye Associates of South Overland ParkGroup PAC ID 5991066110, 2 clinicians
Eye Associates of North Overland ParkGroup PAC ID 5698152429, 4 clinicians

Practice addresses (Care Compare)

10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090

15069 Nall Ave
Overland Park, KS 66223-4900
Phone (913) 825-2600

15257 W 135TH St
Olathe, KS 66062-1534
Phone (913) 780-9696

16021 S Bradley Dr
Olathe, KS 66062-3932
Phone (913) 440-9819

7632 State Line Rd
Prairie Village, KS 66208-3705
Phone (913) 642-5000

8029 W 159TH St
Overland Park, KS 66223-2914
Phone (913) 897-8171

8925 Metcalf Ave
Overland Park, KS 66212-1402
Phone (913) 339-9090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2162KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Prairie Village,PA Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Eye Associates of Overland Park PA Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Eye Associates of North Overland Park Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Eye Associates of Leawood PA Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Eye Associates of Olathe PA Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Eye Associates of South Olathe Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Eye Associates of South Overland Park Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Eye Associates of Shawnee PA Optometrist CurrentSince Jan 7, 2022 Accepting new patients

Locations

16021 S Bradley Dr
Olathe, KS 66062
Phone (913) 339-9090

15257 W 135th St
Olathe, KS 66062
Phone (913) 780-9696

8925 Metcalf Ave
Overland Park, KS 66212
Phone (913) 261-9985

8029 W 159th St
Overland Park, KS 66223
Phone (913) 339-9090

15069 Nall Ave
Overland Park, KS 66223
Phone (913) 825-2600

10120 W 119th St
Overland Park, KS 66213
Phone (913) 339-9090

7632 State Line Rd
Prairie Vlg, KS 66208
Phone (913) 642-5000

15951 W 65th St
Shawnee, KS 66217
Phone (913) 268-9190

Organizations & group practices 8

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1336890201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "telephone_number": "913-261-9985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131600",
            "country_code": "US",
            "telephone_number": "913-339-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGGS",
        "first_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.