Individual provider Active NPI

Tyler Meek, OD

  • Optometrist
  • American Fork, UT
National Provider Identifier
1417648494
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13393973-9934 Issued in UT
Practice address
60 S 200 E
American Fork, UT 84003-2412
Phone
(801) 756-4731
NPI assigned
May 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 13393973-9934 UT Primary

Addresses

Primary practice location

60 S 200 E
American Fork, UT 84003-2412

Mailing address

12184 N Bridgegate Way
Highland, UT 84003-5528
Phone (385) 200-2893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20230918002246 UT Practitioner - Optometry 6406210814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth E Hooton, O.D.Group PAC ID 1658341953, 3 clinicians

Practice addresses (Care Compare)

60 S 200
American Fork, UT 84003-2412
Phone (801) 756-4731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13393973-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth E Hooton, O.D. Optometrist CurrentSince Jul 25, 2023 Accepting new patients

Locations

60 S 200 E
American Fork, UT 84003
Phone (801) 756-4731

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1417648494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12184 N BRIDGEGATE WAY",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840035528",
            "telephone_number": "385-200-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 200 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032412",
            "telephone_number": "801-756-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "TYLER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13393973-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.