Lyda D Tymiak, MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME30547 Issued in FL

Practice address

2650 Tampa Rd
Palm Harbor, FL 34684-3144

Phone

(727) 785-4419

Fax

(727) 789-3351

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

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.

• Lyda D Tymiak MD PA

  • Ophthalmology Physician
  • Palm Harbor, FL
  • NPI 1447391644
  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1700803889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843144",
            "telephone_number": "727-785-4419",
            "fax_number": "727-789-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843144",
            "telephone_number": "727-785-4419",
            "fax_number": "727-789-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMIAK",
        "first_name": "LYDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME30547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "624122",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180012673",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "62239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Brooke Tufariello, PA-C
• Kathleen Mary Tufaro, LMHC
• John A Tutay, DMD
• Tuttle Health, LLC
• Daniel Tuttle, DC, LCSW
• Tyne Hurtado LMHC NCC LLC
• Christopher Allen Uhle, DC
• Robert Allen Uhle, DDS
• Inga Ukolova, D.D.S.
• Ultra Imaging of Tampa, LLC (dba Ultra Imaging of Palm Harbor)

• Ophthalmology Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.