Jared Tyhurst OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JARED TYHURST OD PC

Practice address

1614 E Main St
Lebanon, VA 24266-3446

Phone

(276) 889-1315

NPI assigned

Oct 31, 2007

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jared Charles Tyhurst, ODNPI 1467945931

Title

President

Phone

(276) 525-0602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Charles Tyhurst, OD

  • Optometrist
  • Lebanon, VA
  • NPI 1467945931
  Medicare reassignment Care Compare group NPD Authorized official
• Adrienne Pritchard Nowicki, O.D.

  • Optometrist
  • Bristol, TN
  • NPI 1770636961

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1821277468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663446",
            "telephone_number": "276-889-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED TYHURST OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "TYHURST",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-525-0602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Elizabeth Horton, OT
• Susan Barrow Humphreys, M.D.
• Colby E. Hunt, DPT
• Thomas N Hutton, PHARMD
• J & B Express Transport Inc.
• Kaitlyn Dawn Jenkins, OTR/L
• Brenda Jessee, FNP
• Shenia Diane Johnson, DNP FNP-BC, PMHNP-BC
• Kristie L Jones, LPC
• Thomas Andrew Jones, FNP-C

• Optometrist in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.