Active NPI
Tyler Robert Hudson, O.D.
- Optometrist
- Union, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003584A
- Practice address
- 2343 Antoinette Way
Union, KY 41091-7405 - Phone
- (812) 584-8515
- NPI assigned
- Jun 22, 2009
- Last updated
- Mar 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003584A | IN | Primary |
| Optometrist | 152W00000X | 5870 | OH | |
| Optometrist | 152W00000X | 1788DT | KY |
Addresses
Primary practice location
2343 Antoinette Way
Union, KY 41091-7405
Mailing address
2343 Antoinette Way
Union, KY 41091-7405
Phone (812) 584-8515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3096984 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 N Main St
Walton, KY 41094-1228
Phone (859) 485-3937
403 Walnut St
Suite a
Lawrenceburg, IN 47025-2411
Phone (812) 537-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5870 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare LLC | Current | Accepting new patients | |
| Onhealthcare, LLC | Optometrist | Current | Accepting new patients |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical Inc | Optometrist | Current | Accepting new patients |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Lawrenceburg Eye Center, LLC | Optometrist | Current | Accepting new patients |
| Hudson Eye Center, LLC | Optometrist | Current | Accepting new patients |
| Mobile Medical, Inc. | Past | Accepting new patients | |
| Bluegrass Retina Consultants, PSC | Past | Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients |
Locations
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522
403 Walnut St
Ste A
Lawrenceburg, IN 47025
Phone (812) 537-2020
27 N Main St
Walton, KY 41094
Phone (859) 485-3937
1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031
575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629
135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tyler.hudson.p19@direct.360care.nextgenshare.com
Organizations & group practices 10
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.
-
- Optometrist
- Lawrenceburg, IN
- NPI 1730640152
-
- Social Worker
- Indianapolis, IN
- NPI 1114681681
-
- Ophthalmology Physician
- Lexington, KY
- NPI 1396859260
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1750518346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2343 ANTOINETTE WAY",
"city": "UNION",
"state": "KY",
"postal_code": "410917405",
"telephone_number": "812-584-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2343 ANTOINETTE WAY",
"city": "UNION",
"state": "KY",
"postal_code": "410917405",
"telephone_number": "812-584-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "TYLER",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003584A",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5870",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1788DT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3096984",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.