Individual provider Active NPI

Tyler Charles Smith, O.D.

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1528356243
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7719TG Issued in TX
Practice address
1900 Coulter Drive
Suite I
Amarillo, TX 79106-1751
Phone
(806) 355-9411
Fax
(806) 358-8855
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7719TG TX Primary

Addresses

Primary practice location

1900 Coulter Drive
Suite I
Amarillo, TX 79106-1751

Mailing address

1900 Coulter Drive
Suite I
Amarillo, TX 79106-1751
Phone (806) 355-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111012000535 TX Practitioner - Optometry 7911179114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Eye Associates PAGroup PAC ID 2264460005, 3 clinicians

Practice addresses (Care Compare)

1900 S Coulter St
Suite I
Amarillo, TX 79106-1751
Phone (806) 355-9411

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7719TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Eye Associates, P.a. Optometrist CurrentSince Aug 24, 2011 Accepting new patients

Locations

1900 S Coulter St
Ste I
Amarillo, TX 79106
Phone (806) 355-9411

Interoperability endpoints

  • Direct secure messaging: tylersmith@medcentereye.eyefinity-direct.com

Organizations & group practices 1

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1528356243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COULTER DRIVE",
            "address_2": "SUITE I",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061751",
            "telephone_number": "806-355-9411",
            "fax_number": "806-358-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COULTER DRIVE",
            "address_2": "SUITE I",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061751",
            "telephone_number": "806-355-9411",
            "fax_number": "806-358-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7719TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.