Individual provider Active NPI

Tyler Crouse, OD

  • Optometrist
  • Mechanicsburg, PA
National Provider Identifier
1881117570
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003311 Issued in PA
Practice address
555 Gettysburg Pike Ste C200
Mechanicsburg, PA 17055-5205
Phone
(717) 796-2000
Fax
(717) 796-2015
NPI assigned
Jul 25, 2017
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG003311 PA Primary

Addresses

Primary practice location

555 Gettysburg Pike Ste C200
Mechanicsburg, PA 17055-5205

Mailing address

555 Gettysburg Pike Ste C200
Mechanicsburg, PA 17055-5205
Phone (717) 796-2000

Other practice location 1

338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 249-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170823000272 PA Practitioner - Optometry 8921370172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Eye Associates LLPGroup PAC ID 2264888320, 3 clinicians

Practice addresses (Care Compare)

555 Gettysburg Pike
Suite C200
Mechanicsburg, PA 17055-5205
Phone (717) 796-2000

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as group
Quality
93.61
Improvement activities
40
Cost
77.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003311PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stoken Wagner Ophthalmic Associates, LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Hartzell Eye Specialists, LLC Optometrist CurrentSince Sep 10, 2018 Accepting new patients
West Eye Associates LLP Optometrist CurrentSince Sep 10, 2023 Accepting new patients
Pennsylvania College of Optometry Optometrist PastSince Jul 3, 2017 Accepting new patients
David L Hartzell MD Single Specialty PastSince Sep 10, 2018 Accepting new patients

Locations

338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103

37 Brookwood Ave
Carlisle, PA 17015
Phone (717) 243-8606

43 Eastgate Dr
Ste 200
Carlisle, PA 17015
Phone (717) 966-1766

555 Gettysburg Pike
Ste C200
Mechanicsburg, PA 17055
Phone (316) 247-9771

Organizations & group practices 5

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1881117570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GETTYSBURG PIKE STE C200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555205",
            "telephone_number": "717-796-2000",
            "fax_number": "717-796-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 GETTYSBURG PIKE STE C200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555205",
            "telephone_number": "717-796-2000",
            "fax_number": "717-796-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-249-6337",
            "fax_number": "717-249-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "TYLER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.