Individual provider Active NPI

Tyler James Albert, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1760026470
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34628 Issued in CA
Practice address
1701 Stine Rd
Bakersfield, CA 93309-4827
Phone
(661) 770-3317
NPI assigned
Nov 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34628 CA Primary

Addresses

Primary practice location

1701 Stine Rd
Bakersfield, CA 93309-4827

Mailing address

10601 Gold Cup LN
Bakersfield, CA 93312-8603
Phone (661) 303-0151

Other practice location 1

4600 Panama Ln Unit 102B
Bakersfield, CA 93313-3511
Phone (800) 300-6664

Other practice location 2

525 Roberts Ln
Bakersfield, CA 93308-4799
Phone (800) 300-6664

Other practice location 3

2101 7th St
Wasco, CA 93280-1502
Phone (800) 300-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20201012002011 CA Practitioner - Optometry 6305266453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Hawley Optometric CorporationGroup PAC ID 9739277740, 4 clinicians

Practice addresses (Care Compare)

3911 Coffee Rd
Suite B
Bakersfield, CA 93308-5024
Phone (661) 588-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34628CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John Hawley Optometric Corporation Optometrist CurrentSince Nov 5, 2023 Accepting new patients

Locations

3911 Coffee Rd
#B
Bakersfield, CA 93308
Phone (661) 588-0222

Interoperability endpoints

  • Direct secure messaging: tyler.albert.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1760026470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 GOLD CUP LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933128603",
            "telephone_number": "661-303-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094827",
            "telephone_number": "661-770-3317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Panama Ln Unit 102B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933133511",
            "country_code": "US",
            "telephone_number": "800-300-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Roberts Ln",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933084799",
            "country_code": "US",
            "telephone_number": "800-300-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 7th St",
            "address_purpose": "LOCATION",
            "city": "Wasco",
            "state": "CA",
            "postal_code": "932801502",
            "country_code": "US",
            "telephone_number": "800-300-6664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.