DR. SETH LYLE GOOLSBEE (OD) – Optometrist, NPI 1174015523

DR. SETH LYLE GOOLSBEE (OD) is a healthcare provider. based in Tyler, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 9457 (TX). The NPI Number for DR. SETH LYLE GOOLSBEE (OD) is 1174015523

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. SETH LYLE GOOLSBEE (OD)
NPI
1174015523
Phone
(903) 339-3035
Address
5777 NEW COPELAND RD
Enumeration Date
1 June 2018
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9033393035
Graduation Year
2018 (8 years ago)
PAC ID
6204181266
Group Practice PAC ID
5092005710
Professional Enrollment ID
I20180614001537

Contacts

Secure Messaging
sgoolsbee@tylereyeassociates.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:8State licenses:1Other names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. SETH LYLE GOOLSBEE (OD)

  • 5777, New Copeland Road, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 757033905

    Phone: (903) 339-3035

    Fax: (903) 339-3036

    Type: Mailing

  • 5791 NEW COPELAND RD

    TYLER, TX 757033905

    Phone: (903) 339-3035

    Fax: (903) 339-3036

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,239.

Total Amount is formed as General ($1,239) + Research ($0) + Ownership ($0) = $1,239.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Alcon Vision LLC ($648).

Total Amount

$1,239

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2018-06-14

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
I20180614001537IOptometryTXTBD

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 retina322298$0
92014Established patient complete exam of visual system215212$0
99213Established patient office or other outpatient visit, 20-29 minutes166104$0
92004New patient complete exam of visual system8585$0
92134Imaging of retina3428$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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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: 5092005710View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I verify DR. SETH LYLE GOOLSBEE (OD) with an NPI only?
You can start verification with NPI 1174015523 for DR. SETH LYLE GOOLSBEE (OD), then check state licensing separately.
Does CMS list DR. SETH LYLE GOOLSBEE (OD) as active?
Yes — DR. SETH LYLE GOOLSBEE (OD) is active in the NPI listing used on this page.
What taxonomy line describes DR. SETH LYLE GOOLSBEE (OD)?
For research purposes, treat DR. SETH LYLE GOOLSBEE (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SETH LYLE GOOLSBEE (OD)?
DR. SETH LYLE GOOLSBEE (OD)'s geographic hint is Tyler, Texas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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