Individual provider Active NPI

Christine Ann Tyler, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1952482291
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6421TG Issued in TX
Practice address
2055 Westheimer Rd
Suite 135
Houston, TX 77098-1598
Phone
(713) 520-6600
Fax
(713) 520-6656
NPI assigned
Oct 17, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6421TG TX Primary

Addresses

Primary practice location

2055 Westheimer Rd
Suite 135
Houston, TX 77098-1598

Mailing address

2055 Westheimer Rd
Suite 135
Houston, TX 77098-1598
Phone (713) 520-6600

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
I20040629000402 TX Practitioner - Optometry 7315923968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6421TXMDChiropractor
6421TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine a Tyler OD PA Optometrist CurrentSince Sep 1, 2011 Accepting new patients
Marcus G. Piccolo, OD, PLLC Optometrist PastSince Nov 17, 2003 Accepting new patients

Locations

2055 Westheimer Rd
Ste 135
Houston, TX 77098
Phone (713) 520-6600

2617 W Holcombe Blvd
Ste H
Houston, TX 77025
Phone (228) 229-9598

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, 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1952482291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WESTHEIMER RD",
            "address_2": "SUITE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981598",
            "telephone_number": "713-520-6600",
            "fax_number": "713-520-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WESTHEIMER RD",
            "address_2": "SUITE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981598",
            "telephone_number": "713-520-6600",
            "fax_number": "713-520-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6421TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.