DR. KEITH F TYLER


Address: 2105 W 80 1/2 St Ste C, Bloomington, MN 55431-1493
Phone: 9528816114

DR. KEITH F TYLER (NPI# 1922206036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922206036
Entity Type Individual
Full Name DR. KEITH F TYLER
Credential OD
Practice Address 2105 W 80 1/2 St Ste C
Bloomington
MN 55431-1493
Practice Telephone 9528816114
Practice Fax Number 9528816114
Mailing Telephone (952) 881-6114
Mailing Fax Number 9528818594
Enumeration Date 2007-07-10
Last Update Date 2017-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 9995 IL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 046009995 05

Office Location

Street Address 2105 W 80 1/2 ST STE C
City BLOOMINGTON
State MN
Zip Code 55431-1493

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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1245650639 Scott A Miller Od LLC Optometrist 3313 W State Road 45, Bloomington, IN 47403-5107 2014-04-24
1184044224 Thomas Gast Optometrist 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 2014-04-16
1740520790 Hoosier Eye Doctor Inc Optometrist 4719 W State Road 46, Bloomington, IN 47404-9518 2013-02-27
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
1558661918 Shu Sheng Phung Optometrist 315 S Center St, Bloomington, IL 61701-5101 2010-11-01
1760610265 Denver Joseph Mcdaniel Optometrist 1105 S College Mall Rd, Bloomington, IN 47401-6177 2009-06-24
1194987131 Diana Lynn Christensen Optometrist 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 2008-07-01
1548458623 William B. Witte, Ltd Optometrist 2409 E Washington St, Bloomington, IL 61704-4483 2007-10-14
1740472216 Mark A Houser Optometrist 3818 W Woodyard Rd, Bloomington, IN 47404-1430 2007-08-17
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Competitor

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City BLOOMINGTON
Zip Code 55431

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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