Active NPI
Tyler Brandon McLemore, OD
- Optometrist
- Mineral Wells, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9831TG
- Practice address
- 601 FM 1821
Mineral Wells, TX 76067-9119 - Phone
- (940) 222-8435
- NPI assigned
- Apr 30, 2018
- Last updated
- Dec 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 84.15
- Improvement activities
- 40
- Cost
- 68.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9831 | TX | MD | General Practice Dentistry |
| 33915TLG | CA | MD | Optometrist |
| 9831TG | TX | MD | Optometrist |
| 33915 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Consultants, PLLC | Current | 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
- 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.
-
- Ophthalmology Physician
- Stephenville, TX
- NPI 1124589643
-
- Optometrist
- Mineral Wells, TX
- NPI 1386230399
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.