TYLER ANDREW WILLS (OD) – Optometrist, NPI 1740861640

TYLER ANDREW WILLS (OD) is a healthcare provider. based in St johns, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC005918 (FL). The NPI Number for TYLER ANDREW WILLS (OD) is 1740861640

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
TYLER ANDREW WILLS (OD)
NPI
1740861640
Phone
(904) 657-1055
Address
313 CHICASAW CT
Enumeration Date
21 April 2021
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9043638282
Graduation Year
2021 (5 years ago)
PAC ID
1850792045
Group Practice PAC ID
6800936360
Professional Enrollment ID
I20210625000197
Address ID
FL322560743JA10300BLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for TYLER ANDREW WILLS (OD)

  • 313 CHICASAW CT

    ST JOHNS, FL 322594329

    Phone: (904) 657-1055

    Type: Mailing

  • 6 S 14TH ST

    FERNANDINA BEACH, FL 320343212

    Phone: (904) 261-5741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,152.

Total Amount is formed as General ($1,152) + Research ($0) + Ownership ($0) = $1,152.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($275).

Total Amount

$1,152

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2021-06-25

PECOS data refreshed: 2026-05-27

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
I20210625000197IOptometryFLTBD

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
92250Photography of the retina319314$0
92014Established patient complete exam of visual system274274$0
99213Established patient office or other outpatient visit, 20-29 minutes239192$0
92004New patient complete exam of visual system177177$0
92083Exam of visual field with extended testing3636$0
View full utilization report →

Insurance plans in this area (ZIP 32259)

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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: 6800936360View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How is TYLER ANDREW WILLS (OD) identified in CMS data?
CMS-hosted NPPES data lists TYLER ANDREW WILLS (OD) with NPI 1740861640.
Does the file indicate TYLER ANDREW WILLS (OD) is practicing under active NPI?
Directory data currently reports TYLER ANDREW WILLS (OD) as active.
What is TYLER ANDREW WILLS (OD)'s specialty?
The listing groups TYLER ANDREW WILLS (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does TYLER ANDREW WILLS (OD) serve?
TYLER ANDREW WILLS (OD)'s listing highlights St Johns, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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