GARRETT TYLER MILNER (O.D.) – Optometrist, NPI 1073742219

GARRETT TYLER MILNER (O.D.) is a healthcare provider. based in Hercules, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13780 (CA). The NPI Number for GARRETT TYLER MILNER (O.D.) is 1073742219

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
GARRETT TYLER MILNER (O.D.)
NPI
1073742219
Phone
(510) 799-7380
Address
1375 SYCAMORE AVE
Enumeration Date
9 July 2009
Last Update Date
5 July 2019

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9254632150
Graduation Year
2009 (17 years ago)
PAC ID
6002955606
Group Practice PAC ID
9234472242
Professional Enrollment ID
I20091119000659
Address ID
CA945883365PL6155XDRXX309
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

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Provider Addresses for GARRETT TYLER MILNER (O.D.)

  • 1375, Sycamore Avenue, Hercules, Contra Costa County, California, 94547, United States

    STE 150E

    HERCULES, CA 945475540

    Phone: (510) 799-7380

    Type: Mailing

  • 1581, Sycamore Avenue, Hercules, Contra Costa County, California, 94547, United States

    SUITE 10

    HERCULES, CA 945471700

    Phone: (510) 799-7380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $591.

Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($250).

Total Amount

$591

General + Research + Ownership

Payments

10

Total payment records

General Amount

$591

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091119000659IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3434$0
View full utilization report →

Insurance plans in this area (ZIP 94547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234472242View full group profile
NameSpecialtyState
-CA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YMA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What federal number belongs to GARRETT TYLER MILNER (O.D.)?
The federal identifier for GARRETT TYLER MILNER (O.D.) is NPI 1073742219.
Does this profile mean GARRETT TYLER MILNER (O.D.) is currently active?
Yes — GARRETT TYLER MILNER (O.D.) appears active in the national provider directory.
What field does GARRETT TYLER MILNER (O.D.) work in?
You can think of GARRETT TYLER MILNER (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for GARRETT TYLER MILNER (O.D.)?
The page summarizes Hercules, California for GARRETT TYLER MILNER (O.D.); expand the address list for detail.
Is GARRETT TYLER MILNER (O.D.) a real provider?
This page reflects official NPPES data for NPI 1073742219. Always confirm identity and privileges with the practice and licensing boards.

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