Individual provider Active NPI

Tyler McFadden, OD

  • Optometrist
  • Mount Pleasant, PA
National Provider Identifier
1548906233
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003941 Issued in PA
Practice address
784 W Main St
Mount Pleasant, PA 15666-1804
Phone
(724) 547-6130
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003941 PA Primary

Addresses

Primary practice location

784 W Main St
Mount Pleasant, PA 15666-1804

Mailing address

784 W Main St
Mount Pleasant, PA 15666-1804
Phone (724) 547-6130

Other practice location 1

701 Lincoln Ave
North Charleroi, PA 15022-2422
Phone (724) 483-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220921000186 PA Practitioner - Optometry 9739564162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

784 W Main St
Apt 1
Mount Pleasant, PA 15666-1804

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton M. Anderson, Jr. O.D. Optometrist PastSince Aug 25, 2022 Accepting new patients

Organizations & group practices 2

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1548906233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 W MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661804",
            "telephone_number": "724-547-6130",
            "fax_number": "724-587-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 W MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661804",
            "telephone_number": "724-547-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleroi",
            "state": "PA",
            "postal_code": "150222422",
            "country_code": "US",
            "telephone_number": "724-483-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, PA

Sources for this page

Verify at the official NPI Registry.