Individual provider Active NPI

Tyler George McFaden, O.D.

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1447690771
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D04 Issued in AL
Practice address
4131 Troy Hwy
Montgomery, AL 36116-2644
Phone
(334) 288-2021
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D04 AL Primary

Addresses

Primary practice location

4131 Troy Hwy
Montgomery, AL 36116-2644

Mailing address

4131 Troy Hwy
Montgomery, AL 36116-2644
Phone (334) 288-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130827000205 AL Practitioner - Optometry 8123261930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Eye Physicians PCGroup PAC ID 7113990805, 6 clinicians

Practice addresses (Care Compare)

2752 Zelda Rd
Montgomery, AL 36106-2694
Phone (334) 271-3804

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
92.57
Improvement activities
40
Cost
86.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D04ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Eye Physicians P.C Optometrist CurrentSince Aug 5, 2013 Accepting new patients
Montgomery Eye Physicians P.C Optometrist CurrentSince Aug 5, 2013 Accepting new patients
Coates Optical Lab Inc Past Accepting new patients

Locations

8131 Seaton Pl
Montgomery, AL 36116
Phone (334) 323-1889

2752 Zelda Rd
Montgomery, AL 36106
Phone (334) 270-9677

Organizations & group practices 3

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1447690771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 TROY HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162644",
            "telephone_number": "334-288-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 TROY HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162644",
            "telephone_number": "334-288-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADEN",
        "first_name": "TYLER",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.