Individual provider Active NPI

Tyson R Tanner, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1851529598
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1690 Issued in AZ
Practice address
1938 S Dobson Rd
Mesa, AZ 85202-5658
Phone
(480) 777-1649
Fax
(480) 894-2054
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1690 AZ Primary

Addresses

Primary practice location

1938 S Dobson Rd
Mesa, AZ 85202-5658

Mailing address

545 S Broadway
Suite #500
Denver, CO 80209-4067
Phone (720) 570-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090911000719 AZ Practitioner - Optometry 1355496548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1690AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD CurrentSince Sep 17, 2012 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Sep 17, 2012 Accepting new patients
Barnet Dulaney Perkins Eye Center II PLLC CurrentSince Aug 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations (25 of 45)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Apache Junction, AZ 85119
Phone (480) 982-0241

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5323 N 99th Ave
Ste 155
Glendale, AZ 85305
Phone (623) 250-7377

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1919 Florence Ave
Kingman, AZ 86401
Phone (520) 753-5454

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

8435 E Baseline Rd
Bldg C101
Mesa, AZ 85209

8435 E Baseline Rd
Bldg C104
Mesa, AZ 85209

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

7435 E Main St
Ste 101
Mesa, AZ 85207
Phone (480) 634-3777

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

Interoperability endpoints

  • Direct secure messaging: tyson.tanner.p11@direct.avp.nextgenshare.com
  • Direct secure messaging: tyson.tanner@direct.avp.nextgenshare.com

Organizations & group practices 9

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1851529598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S BROADWAY",
            "address_2": "SUITE #500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094067",
            "telephone_number": "720-570-0660",
            "fax_number": "720-570-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025658",
            "telephone_number": "480-777-1649",
            "fax_number": "480-894-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "TYSON",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.