Individual provider Active NPI

Tyler Dowdall, OD

  • Optometrist
  • Fort Thomas, KY
National Provider Identifier
1356832380
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2165DT Issued in KY
Practice address
92 Alexandria Pike
Fort Thomas, KY 41075-1729
Phone
(859) 781-2000
Fax
(859) 781-8122
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT.006640 OH
Optometrist 152W00000X 2165DT KY Primary

Addresses

Primary practice location

92 Alexandria Pike
Fort Thomas, KY 41075-1729

Mailing address

92 Alexandria Pike
Fort Thomas, KY 41075-1729
Phone (859) 781-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20201218001966 KY Practitioner - Optometry 4789939075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunderman DowdallGroup PAC ID 0547652240, 2 clinicians

Practice addresses (Care Compare)

92 Alexandria Pike
Fort Thomas, KY 41075-1729
Phone (859) 781-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2165DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunderman Dowdall Optometrist CurrentSince Feb 1, 2022 Accepting new patients

Locations

92 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 441-3400

Organizations & group practices 1

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1356832380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751729",
            "telephone_number": "859-781-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751729",
            "telephone_number": "859-781-2000",
            "fax_number": "859-781-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDALL",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "OPT.006640",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2165DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.