Donald Todd Wylie, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1528-TX Issued in WA

Practice address

104 S Freya St.
Ste 220, White Flag BLDG
Spokane, WA 99202-4867

Phone

(509) 535-5855

Fax

(509) 535-3916

NPI assigned

Jul 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• D. Todd Wylie, O.D., Inc.

  • Clinic/Center
  • Spokane, WA
  • NPI 1730378308
  Medicare reassignment NPD Authorized official
• Avpr PLLC

  • Occupational Therapist
  • Spokane, WA
  • NPI 1770038895

  Vision Therapy

  NPD (past)
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1750308243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST.",
            "address_2": "STE 220, WHITE FLAG BLDG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024867",
            "telephone_number": "509-535-5855",
            "fax_number": "509-535-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST.",
            "address_2": "STE 220, WHITE FLAG BLDG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024867",
            "telephone_number": "509-535-5855",
            "fax_number": "509-535-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "DONALD",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "1528-TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024842",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly E Wurzel, M.D.
• Michael Anthony Wyant
• Denise Ann Wyatt, PHARMD
• Patti A Wyatt, LMP
• Kyle Wyer, DO
• Ian Keith Wyma
• Kelsey Wyman
• Michael J Wymore, MD
• Crystal Lee Wynne
• Jared Wyrick, M.D.

• Vision Therapy Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Vision Therapy Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.