Active NPI
Tyler James Albert, OD
- Optometrist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34628
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34628 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Hawley Optometric Corporation | Optometrist | Current | Accepting new patients |
Locations
3911 Coffee Rd
#B
Bakersfield, CA 93308
Phone (661) 588-0222
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.