Derek McTyier, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0004011 Issued in WA

Practice address

314 E McLoughlin Blvd
Vancouver, WA 98663-3387

Phone

(360) 694-8303

Fax

(360) 694-9032

NPI assigned

Oct 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Southern College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vancouver Contact Lens and Vision Clinic IncGroup PAC ID 2668369935, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Vancouver Contact Lens & Vision Clinic Inc

  • Optometrist
  • Camas, WA
  • NPI 1124163167
  Medicare reassignment Care Compare group NPD
• Vancouver Contact Lens & Vision Clinic Inc

  • Optometrist
  • Vancouver, WA
  • NPI 1215072269
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1962584474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633387",
            "telephone_number": "360-694-8303",
            "fax_number": "360-694-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633387",
            "telephone_number": "360-694-8303",
            "fax_number": "360-694-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTYIER",
        "first_name": "DEREK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "0004011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031870",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee McQueen, R.D.A
• Sandi Lee McQueen, MSW
• Robert Gowan McQuillen, MS
• Michael Kent McQuivey, PT
• Mariah McSkimming
• Gabriela McTyier, O.D.
• Elice Marie McVay, PH.D.
• Oshiana McWay
• David B McWherter, ARNP
• Charlotte Elizabeth McWilliam, BS

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.