Tyler Charles Pietrykowski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004040A Issued in IN

Practice address

2580 Michigan Rd Ste 2
Madison, IN 47250-2492

Phone

(812) 265-6222

NPI assigned

Jun 22, 2017

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 IN

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

Indiana University - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lisle Family Eye Care IncGroup PAC ID 0648257022, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.pietrykowski@direct.revolutionehr.com

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.

• Lisle Family Eye Care Inc

  • Optometrist
  • North Vernon, IN
  • NPI 1518904655
  Medicare reassignment Care Compare group NPD
• Lisle Family Eye Care Inc

  dba The Eye Care Group

  • Optometrist
  • Seymour, IN
  • NPI 1053973438
  NPD
• Lisle Family Eye Care Inc

  dba Eye Care Group

  • Optometrist
  • Vevay, IN
  • NPI 1417348525
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1710407564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 E THORNTON RD",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472509569",
            "telephone_number": "812-599-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 MICHIGAN RD STE 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502492",
            "telephone_number": "812-265-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRYKOWSKI",
        "first_name": "TYLER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raley Nicole Peyton
• Phoenix Emergency Services of Madison LLC
• Physicians Medical Center LLC
• Sarah Ann Pickerill
• Nicole Renee Pies
• Robert Lee Pimlott, LMFT
• Jace Brandon Pinkston, OTR/L
• Planned Parenthood of Indiana Madison
• Nathan W Polley, MD
• William Porter

• Optometrist in Madison, IN
• Providers in Madison, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.