Vision Source Of Tyler in Tyler, TX - Medicare Optometrist Provider

Vision Source Of Tyler is a medicare enrolled "Optometrist" provider in Tyler, Texas. Their current practice location is 136 Shelley Dr, Tyler, Texas. You can reach out to their office (for appointments etc.) via phone at (903) 561-8686.

Vision Source Of Tyler is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vision Source Of Tyler is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255021432.

Contact Information

	Vision Source Of Tyler
	136 Shelley Dr, Tyler, TX 75701-8723
	(903) 561-8686
	(903) 581-1518

Map and Direction

Healthcare Provider's Profile

Full Name	Vision Source Of Tyler
Type	Facility
Speciality	Optometrist
Location	136 Shelley Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255021432
Provider Enumeration Date: 05/10/2023
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0547619918
Enrollment ID: O20231211001131

Medical Identifiers

Medical identifiers for Vision Source Of Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255021432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Primary
152WC0802X	Optometrist - Corneal And Contact Management	(* (Not Available))	Secondary
152WP0200X	Optometrist - Pediatrics	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vision Source Of Tyler acts as a billing entity for following providers:

Provider Name	Larry M Chism
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1376670216 PECOS PAC ID: 5597873216 Enrollment ID: I20120627000246

Provider Name	Katherine E Marshall
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1093099509 PECOS PAC ID: 8123274727 Enrollment ID: I20120815000161

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vision Source Of Tyler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vision Source Of Tyler 136 Shelley Dr, Tyler, TX 75701-8723 Ph: (903) 520-3408	Vision Source Of Tyler 136 Shelley Dr, Tyler, TX 75701-8723 Ph: (903) 561-8686

Reviews and Comments

Optometrist in Tyler, TX

Bryan E Frazier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5791 New Copeland Rd, Tyler, TX 75703 Phone: 903-339-3035 Fax: 903-339-3036
Dr. David Michael Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2756 S Broadway Ave, Tyler, TX 75701 Phone: 903-593-2345 Fax: 903-593-4646
Piney Woods Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Southwest Loop 323, Tyler, TX 75701 Phone: 480-375-8908
Vision Source Of Tyler Optometrist Medicare: Medicare Enrolled Practice Location: 136 Shelley Drive, Tyler, TX 75701 Phone: 903-561-8686 Fax: 903-581-1518
Dr. Andrew Eric Hamilton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4826 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-6995
Dat Ly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7924 S Broadway Ave, Ste 200, Tyler, TX 75703 Phone: 903-617-6864 Fax: 903-504-5758
20/20 Icare Tyler Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4824 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-2020

Vision Source Of Tyler - Medicare Optometrist in Tyler, TX