Tyler David Fruth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2298DT Issued in KY

Practice address

1 N Maysville St
Mt Sterling, KY 40353-1753

Phone

(859) 498-6001

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helderman and Jacobs Vision Center, PLLCGroup PAC ID 5193701159, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tf@abelleyes.direct.eyemdemr.com

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.

• Helderman & Jacobs Vision Center, PLLC

  • Optometrist
  • Mount Sterling, KY
  • NPI 1699824912
  Medicare reassignment Care Compare group NPD
• Helderman & Jacobs Vison Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Sterling, KY
  • NPI 1659420602
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1457086142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAYSVILLE AVE",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-498-6001",
            "fax_number": "859-497-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAYSVILLE ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531753",
            "telephone_number": "859-498-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUTH",
        "first_name": "TYLER",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3169",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2298DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Grant Fraley, CSA
• Amy Catherine Frazier, PHARMD,RPH
• Misty Frazier, LCSW
• Kaitlyn French
• Lawrence Frost, CADC, CSW
• Emily Fugate
• Sherry Renai Fulks, EARLY INTERVENTION
• Carley Futscher
• Paige Jean Gallas, PA-C
• Gateway Dental Dre PLLC

• Optometrist in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.