Individual provider Active NPI

Tyler Brandon McLemore, OD

  • Optometrist
  • Mineral Wells, TX
National Provider Identifier
1760970248
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9831TG Issued in TX
Practice address
601 FM 1821
Mineral Wells, TX 76067-9119
Phone
(940) 222-8435
NPI assigned
Apr 30, 2018
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33915TLG CA
Optometrist 152W00000X 9831TG TX Primary

Addresses

Primary practice location

601 FM 1821
Mineral Wells, TX 76067-9119

Mailing address

108 Futurity LN
Brock, TX 76087-4606
Phone (559) 538-4062

Other practice location 1

1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326
Phone (559) 449-5010

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mineralwellseyecenter@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210520000239 TX Practitioner - Optometry 5395000210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Consultants PLLCGroup PAC ID 0042553976, 4 clinicians

Practice addresses (Care Compare)

150 River N Blvd
Suite a
Stephenville, TX 76401-1861
Phone (254) 918-2277

Merit-based Incentive Payment System (MIPS)

Final score
84.34 of 100Reported as group
Quality
84.15
Improvement activities
40
Cost
68.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9831TXMDGeneral Practice Dentistry
33915TLGCAMDOptometrist
9831TGTXMDOptometrist
33915CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Consultants, PLLC CurrentSince Jul 29, 2024 Accepting new patients

Locations

1100 SE 1st St
Mineral Wells, TX 76067
Phone (254) 918-2277

150 River North Blvd
Ste A
Stephenville, TX 76401
Phone (254) 918-2277

Interoperability endpoints

  • Direct secure messaging: tyler.mclemore.p1@direct.smsc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1760970248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FUTURITY LN",
            "city": "BROCK",
            "state": "TX",
            "postal_code": "760874606",
            "telephone_number": "559-538-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FM 1821",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760679119",
            "telephone_number": "940-222-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 E Herndon Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203326",
            "country_code": "US",
            "telephone_number": "559-449-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "TYLER",
        "middle_name": "BRANDON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33915TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9831TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mineralwellseyecenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 Fm 1821",
            "city": "Mineral Wells",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760679119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.