DR. TYRONE JOHN FAVIS II O.D.
NPI 1003112798
Optometrist in Phoenix, AZ

Q: What is Tyrone Favis's NPI number?

The NPI number for Tyrone Favis is 1003112798. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Q: What is Tyrone Favis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyrone Favis was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2011PECOS EnrolledAccepts Medicare Assignment

2500 E VAN BUREN ST, PHOENIX, AZ 85008(602) 559-4606 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Tyrone John Favis Ii O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYRONE JOHN FAVIS II O.D. (NPI 1003112798) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (OPT001951) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2013).

NPPES Registry Identity

NPI1003112798

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TYRONE JOHN FAVIS IICredential: O.D.

Location Address2500 E VAN BUREN STPhoenix, AZ 85008-6037

Mailing Address4333 E Brookwood CtPhoenix, AZ 85048-8816 · (407) 625-1930

Phone(602) 559-4606

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2013

Enumeration DateJanuary 28, 2011

Last NPPES UpdateFebruary 3, 2026

NPPES CertifiedFebruary 3, 2026

✔ NPI 1003112798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · OPT001951

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2500 E VAN BUREN ST, Phoenix, AZ 85008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tyrone John Favis Ii O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688159494

PECOS Enrollment IDI20260330003690

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyrone Favis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John H Mcdougall Od Arizona PC

21 mi

Optometrist

13125 N LA MONTANA DR STE 1
Fountain Hills, AZ 85268

Reassigned Medicare billing, Arizona enrollment
76 clinicians in this Medicare group

NPI 1851882179 (480) 535-1098

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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