Individual provider Active NPI

David W. Tybor, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1912064957
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3233TG Issued in TX
Practice address
6000 W William Cannon Dr
BLDG. a, Suite 100
Austin, TX 78749-1975
Phone
(512) 288-0444
Fax
(512) 288-1009
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3233TG TX Primary

Addresses

Primary practice location

6000 W William Cannon Dr
BLDG. a, Suite 100
Austin, TX 78749-1975

Mailing address

6000 W William Cannon Dr
BLDG. a, Suite 100
Austin, TX 78749-1975
Phone (512) 288-0444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051111000035 TX Practitioner - Optometry 0345268025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David W Tybor OD PCGroup PAC ID 1355369034, 4 clinicians

Practice addresses (Care Compare)

6000 W William Cannon
A100 A100
Austin, TX 78749

6000 W William Cannon Dr
BLDG a Suite 100
Austin, TX 78749-1976
Phone 51228804441

6000 W WM Cannon
BLDG a Suite 100
Austin, TX 78749-1975

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3233TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David W Tybor OD PC Optometrist CurrentSince Dec 28, 2002 Accepting new patients
Sonja M Franklin OD PA Optometrist PastSince Jun 20, 2005 Accepting new patients

Locations

6000 W William Cannon Dr
Ste A100
Austin, TX 78749
Phone (512) 288-0444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1912064957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W WILLIAM CANNON DR",
            "address_2": "BLDG. A, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491975",
            "telephone_number": "512-288-0444",
            "fax_number": "512-288-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W WILLIAM CANNON DR",
            "address_2": "BLDG. A, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491975",
            "telephone_number": "512-288-0444",
            "fax_number": "512-288-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYBOR",
        "first_name": "DAVID",
        "middle_name": "W.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3233TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.