Robert Marc Tyszko

Primary specialty

OptometristTaxonomy code 152W00000X

License

726 Issued in NH

Practice address

129 Wilton Rd
Suite a
Peterborough, NH 03458-1749

Phone

(603) 924-9591

Fax

(603) 924-9593

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH

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

New England College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert Marc TyszkoGroup PAC ID 9638356306, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as individual

Quality

80.28

Improvement activities

40

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.

• Robert Marc Tyszko

  • Optometrist
  • Peterborough, NH
  • NPI 1023245305
  Medicare reassignment Care Compare group NPD Authorized official
• John F Minteer OD PLLC

  • Eyewear Supplier
  • Peterborough, NH
  • NPI 1477738839
  NPD (past)
• Jordan Family Eyecare Inc

  • Optometrist
  • Rochester, NH
  • NPI 1336148634
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1467486852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WILTON RD",
            "address_2": "SUITE A",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581749",
            "telephone_number": "603-924-9591",
            "fax_number": "603-924-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WILTON RD",
            "address_2": "SUITE A",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581749",
            "telephone_number": "603-924-9591",
            "fax_number": "603-924-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZKO",
        "first_name": "ROBERT",
        "middle_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "726",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3796",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NH",
            "license": "726",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30354215",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "09Y003479NH04",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7823073",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul J. Todoro, PHARMD
• Town of Peterborough
• Heribert Tryba, MA
• Solveig Silvia Tryba, MA
• Jeffrey Turk, COTA
• Karissa Ulrich, PMHNP-BC
• Uplift Health and Wellness
• Michelle A Urban, MD
• Lisa Marie Verville
• Vizionz LLC

• Optometrist in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.