What is Tyler Maxon's NPI number?

Tyler Maxon's National Provider Identifier (NPI) is 1053793034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tyler Maxon's specialty?

Tyler Maxon is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Tyler Maxon located?

Tyler Maxon's practice location on file with NPPES is 228 E Seneca St, Manlius, NY 13104-1818.

What is Tyler Maxon's phone number?

The practice phone number listed in the NPPES registry for Tyler Maxon is (760) 819-1141.

Is Tyler Maxon's NPI active?

Yes — Tyler Maxon's NPI (1053793034) is active in the NPPES registry as of the last update on 2020-08-09.

IndividualActive

Tyler Maxon, O.D.

NPI 1053793034 · Optometrist · Manlius, NY

Tyler Maxon, O.D. is a Optometrist provider in Manlius, NY (NPI 1053793034).

Provider details

NPI number: 1053793034
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: Yes
License: 008307 (NY)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 008307 (NY)
Eye and Vision Services Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

228 E Seneca St

Manlius, NY 13104-1818

Phone: (760) 819-1141

Street-level locationGet directions

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Mailing address