Jared Charles Tyhurst, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002655 Issued in VA

Practice address

1614 Main St
Lebanon, VA 24266

Phone

(276) 889-1315

NPI assigned

Jun 11, 2018

Last updated

Jan 7, 2025By the provider in NPPES

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 VA

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 Houston - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jared Tyhurst OD PCGroup PAC ID 1557487089, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jared Tyhurst OD PC

  • Optometrist
  • Lebanon, VA
  • NPI 1821277468
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1467945931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19374 US-58 Alternate",
            "address_purpose": "LOCATION",
            "city": "Castlewood",
            "state": "VA",
            "postal_code": "24224",
            "country_code": "US",
            "telephone_number": "276-762-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYHURST",
        "first_name": "JARED",
        "middle_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan B Humphreys MD PC
• The Play Hut PLLC
• Tori Peyton Thomas, PT, DPT, ATC
• Shelly Tincher
• Charlotte Ann Townsend, MD
• Ultra Health Lebanon
• Rebecca Varney, FNP
• Laura Hankins Vencill, MS CCC-SLP
• Holly Elizabeth Vicars, DO
• Virginia Department of Health (Russell County Health Department)

• Optometrist in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.