TYLER WADZINSKI – Optometrist, NPI 1124507496

TYLER WADZINSKI is a healthcare provider. based in Morristown, Tennessee. specializing in OPTOMETRY. They hold a License No. 3456 (TN). The NPI Number for TYLER WADZINSKI is 1124507496

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TYLER WADZINSKI
NPI
1124507496
Phone
Not provided
Address
1760 W MORRIS BLVD
Enumeration Date
8 August 2018
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4235812020
Graduation Year
2018 (8 years ago)
PAC ID
1759627805
Group Practice PAC ID
3173549094
Professional Enrollment ID
I20190109003265
Address ID
TN378132834MO1760XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for TYLER WADZINSKI

  • 1760, West Morris Boulevard, Morristown, Hamblen County, Tennessee, 37813, United States

    MORRISTOWN, TN 378132834

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $2,255.

Total Amount is formed as General ($2,255) + Research ($0) + Ownership ($0) = $2,255.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($1,420).

Total Amount

$2,255

General + Research + Ownership

Payments

50

Total payment records

General Amount

$2,255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2019-01-09

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
I20190109003265IOptometryTNTBD

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 system204147$0
92250Photography of the retina10289$0
92012Established patient problem focused exam of visual system8957$0
92083Exam of visual field with extended testing7452$0
92004New patient complete exam of visual system4545$0
View full utilization report →

Insurance plans in this area (ZIP 37813)

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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: 3173549094View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What number should I use to identify TYLER WADZINSKI for billing?
Administrative and clinical systems typically use NPI 1124507496 for TYLER WADZINSKI.
Does the public listing show TYLER WADZINSKI as active?
TYLER WADZINSKI's NPI record reflects an active status in NPPES.
What type of care does TYLER WADZINSKI provide?
TYLER WADZINSKI's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to TYLER WADZINSKI?
TYLER WADZINSKI shows a connection to Morristown, Tennessee in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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