John David Tybor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10658T Issued in TX

Practice address

6000 W William Cannon Dr Ste 100
Austin, TX 78749-1975

Phone

(512) 288-0444

NPI assigned

Aug 4, 2022

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 TX

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

University of Houston - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David W Tybor OD PCGroup PAC ID 1355369034, 4 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.

• David W Tybor OD PC

  • Optometrist
  • Austin, TX
  • NPI 1255303442
  Medicare reassignment Care Compare group NPD
• Sonja M Franklin OD PA

  • Optometrist
  • Austin, TX
  • NPI 1205002839
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1396472825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W WILLIAM CANNON DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491975",
            "telephone_number": "512-288-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W WILLIAM CANNON DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491975",
            "telephone_number": "512-288-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYBOR",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10658T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TX Southern Dental PPO PC
• TX Southern Dental PPO PC
• TX Spine & Sports Therapy Ctr PLLC
• TXM Hospital Holdings
• David W. Tybor, O.D.
• Jessica Tydings, BCBA
• Tyger Homecare LLC
• Julie Tyger
• Amy Kathryn Tyler, N.D.
• Carmen Tyler

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.