Tyler Dylan Thompson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009416 Issued in NY

Practice address

398 Bridge St
Brooklyn, NY 11201-5210

Phone

(718) 865-8159

NPI assigned

Jul 23, 2021

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 NY, GA2 enrollments

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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassar Enterprises,LLCGroup PAC ID 1850475252, 4 clinicians

Practice addresses (Care Compare)

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.

• Nassar Enterprises,LLC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1609056480

  GA, Optometrist

  Medicare reassignment Care Compare group NPD
• Doral Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1558051482
  NPD (past)
• Esog Associates LLC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1780254763
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1447823729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E 14TH ST APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302947",
            "telephone_number": "770-845-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015210",
            "telephone_number": "718-865-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TYLER",
        "middle_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Thompson, LCSW
• Tessa Thomas Thompson, LCSW
• Tiffiny Thompson
• Tonisha Thompson
• Trudy Sangileen Thompson
• Venice Thompson, LCSW
• Winsalle Patricia Thompson
• Tani Thomsen, MD
• Alastair Thomson, MD
• Dawn Thomson

• All providers in Brooklyn, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.