Tyler Dean Spilman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35432TLG Issued in CA

Practice address

125 N Lincoln St Ste a
Dixon, CA 95620-3259

Phone

(707) 678-3055

Fax

(707) 678-9265

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dixon Eyecare Associates an Optometric CorporationGroup PAC ID 6901986900, 4 clinicians

Helmus OptometryGroup PAC ID 9032427927, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dixon Eyecare Associates an Optometric Corporation

  • Optometrist
  • Dixon, CA
  • NPI 1548313901
  Medicare reassignment Care Compare group NPD
• Helmus Optometry

  • Optometrist
  • Davis, CA
  • NPI 1922442680
  Medicare reassignment Care Compare group NPD
• Edward Paul Andersen

  • Optometrist
  • Winters, CA
  • NPI 1609804921
  Medicare reassignment
• Helmus Optometry

  • Optometrist
  • Davis, CA
  • NPI 1083816417
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1942930599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 5TH ST UNIT 547",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958145453",
            "telephone_number": "916-479-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N LINCOLN ST STE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203259",
            "telephone_number": "707-678-3055",
            "fax_number": "707-678-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILMAN",
        "first_name": "TYLER",
        "middle_name": "DEAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35432TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D.. Smiley, PHARM.DR.
• Thomas Michael Smith, PSY.D.
• Emily Solomon
• Speech Therapy Consulting, Inc.
• Cristina Sperry, CA PT LICENSE
• Karen Sprague, N.P.
• Carissa Stenzel
• Wallace Troy Stevens, D.C.
• Kristin Sukeforth, NP
• Gayle L Sutcliffe, M.D.

• Optometrist in Dixon, CA
• Providers in Dixon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.