Individual provider Active NPI

Tyler Ross Boone, OD

  • Optometrist
  • Franklin, TN
National Provider Identifier
1841727286
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3375 Issued in TN
Practice address
1441 New Highway 96 W Ste 3
Franklin, TN 37064-4831
Phone
(615) 560-8245
Fax
(615) 560-8249
NPI assigned
May 16, 2017
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-274-TA-B65 AL
Optometrist 152W00000X 3375 TN Primary

Addresses

Primary practice location

1441 New Highway 96 W Ste 3
Franklin, TN 37064-4831

Mailing address

1441 New Highway 96 W Ste 3
Franklin, TN 37064-4831
Phone (931) 217-0979

Other identifiers 1

IdentifierTypeStateIssuer
Q031644MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20171017001576 TN Practitioner - Optometry 7810263092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1441 New Hwy 96 W
Suite 3
Franklin, TN 37064-4831
Phone (615) 560-8245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-274-TA-B65ALMDOptometrist
3375TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Eye Care & Eyewear Gallery PLLC Optometrist CurrentSince Oct 7, 2019 Accepting new patients

Locations

1441 New Highway 96 W
Ste 3
Franklin, TN 37064
Phone (615) 560-8245

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, 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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1841727286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NEW HIGHWAY 96 W STE 3",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644831",
            "telephone_number": "931-217-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 NEW HIGHWAY 96 W STE 3",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644831",
            "telephone_number": "615-560-8245",
            "fax_number": "615-560-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "TYLER",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-274-TA-B65",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031644",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.