Dr Tyler Xavier De Souza, OD | |
1831 E Buena Vista Dr, Tempe, AZ 85284-2501 | |
(929) 335-1243 | |
Not Available |
Full Name | Dr Tyler Xavier De Souza |
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Gender | Male |
Speciality | Optometrist |
Location | 1831 E Buena Vista Dr, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972988525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV008345 (New York) | Secondary |
152W00000X | Optometrist | OPT-002306 (Arizona) | Primary |
Provider Name | Sightrite Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336562644 PECOS PAC ID: 0749404382 Enrollment ID: O20140620001642 |
Mailing Address | Practice Location Address |
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Dr Tyler Xavier De Souza, OD 6895 E Camelback Rd Unit 3015, Scottsdale, AZ 85251-2480 Ph: () - | Dr Tyler Xavier De Souza, OD 1831 E Buena Vista Dr, Tempe, AZ 85284-2501 Ph: (929) 335-1243 |
Arlynn B Roper, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6101 S Rural Rd Ste 115, Tempe, AZ 85283 Phone: 480-517-0047 Fax: 602-508-4830 | |
Isaac Wright, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2020 E Rio Salado Pkwy # 101, Tempe, AZ 85281 Phone: 480-967-0563 | |
Sylvia Theresa Davis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1445 W Elliot Rd, Tempe, AZ 85284 Phone: 480-598-2020 | |
Dr. Doyle D. Holle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4015 S Mcclintock Dr, Suite 107, Tempe, AZ 85282 Phone: 480-345-0090 Fax: 480-345-7094 | |
Lawrence M Irene, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5000 S Arizona Mills Cir Ste 165, Tempe, AZ 85282 Phone: 480-820-3813 | |
Total Eyecare Centers, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7511 S Mcclintock Dr, Tempe, AZ 85283 Phone: 480-967-4910 Fax: 602-508-4830 | |
Diana Wykes, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1920 E Baseline Rd, Tempe, AZ 85283 Phone: 480-345-5000 |