Tyler Jon McDowell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14876 Issued in CA

Practice address

106 S Absaroka St
Powell, WY 82435-2708

Phone

(307) 754-2020

Fax

(307) 764-2300

NPI assigned

Apr 9, 2014

Sex

Male

Sole proprietor

Yes

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 WY

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powell Vision LLCGroup PAC ID 7113253972, 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 and National Provider Directory roles.

• Powell Vision LLC

  • Optometrist
  • Powell, WY
  • NPI 1578714325
  Medicare reassignment Care Compare group NPD
• Lawrence CHI Chao MD a Professional Corporation

  • Cornea and External Diseases Specialist Physician
  • Irvine, CA
  • NPI 1578599197

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1669891453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S ABSAROKA ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352708",
            "telephone_number": "307-754-2020",
            "fax_number": "307-764-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S ABSAROKA ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352708",
            "telephone_number": "307-754-2020",
            "fax_number": "307-764-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "TYLER",
        "middle_name": "JON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Matzke, PSYD
• Tari Ann McAdam, PMHNP-BC
• Alisa McCoy, RN
• Caeley McDonagh, LCSW
• Kimberly A McDowell, O.D.
• Mel Ginest, DDS, PC
• Jeanna Merritt, R.D.
• Ladell Merritt, PT
• Kayleen Miller
• Kimberley Faith Mingus

• Optometrist in Powell, WY
• Providers in Powell, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.