TYLER SEALOCK
NPI 1013845643
Optometrist in Plymouth, MN

Q: What is Tyler Sealock's NPI number?

The NPI number for Tyler Sealock is 1013845643. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Q: What is Tyler Sealock'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 Tyler Sealock was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 13, 2026PECOS Enrolled

4455 HIGHWAY 169 N, PLYMOUTH, MN 55442(763) 559-7358(763) 559-2167 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tyler Sealock NPPES

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

TYLER SEALOCK (NPI 1013845643) is an individual optometrist in Plymouth, Minnesota, licensed in Minnesota (4060) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1013845643

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTYLER SEALOCK

Location Address4455 HIGHWAY 169 NPlymouth, MN 55442-2897

Mailing Address4455 Highway 169 NPlymouth, MN 55442-2897

Phone(763) 559-7358

Fax(763) 559-2167

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 13, 2026

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1013845643 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 MN · 4060

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.

4455 HIGHWAY 169 N, Plymouth, MN 55442

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Sealock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991263170

PECOS Enrollment IDI20260818003147

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 Tyler Sealock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Don Sealock, O.D., P.A.

Same address

Optometrist

4455 HIGHWAY 169 N
Plymouth, MN 55442

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Don Sealock Od PA
8 clinicians in this Medicare group

NPI 1497785620 (763) 559-7358

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 55442 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 16

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

GRANT SEALOCK OD

Optometrist

4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Hennepin County (763) 559-7358

NICOLE ANN SOLEM OD

Optometrist

4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Hennepin County (763) 559-7358

DR. JOSEPH DALE OSBORNE D.C.

Chiropractor

4455 HIGHWAY 169 N, #200
PLYMOUTH, MN 55442

Hennepin County (763) 557-9032

DR. DONALD H SEALOCK OD

Optometrist

4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Hennepin County (763) 559-7358

LEAH RUHLAND OD

Optometrist

4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Hennepin County (763) 559-7358

VALENTINI CHIROPRACTIC CLINIC LTD PA

Chiropractor

4455 HIGHWAY 169 N, #200
PLYMOUTH, MN 55442

Hennepin County (763) 557-9032

DON SEALOCK, O.D., P.A.

Optometrist

4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Hennepin County (763) 559-7358

DR. TIMOTHY J HURLEY OD

Optometrist

4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Hennepin County (763) 551-0529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Sealock's NPI number?

The NPI number for Tyler Sealock is 1013845643. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Tyler Sealock located?

Tyler Sealock practices at 4455 Highway 169 N, Plymouth, MN 55442. The listed phone number is (763) 559-7358.

What is Tyler Sealock's specialty?

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

Is Tyler Sealock enrolled in Medicare?

Yes. Tyler Sealock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Sealock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Sealock reassigns Medicare benefits to Don Sealock, O.D., P.A. (Plymouth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Sealock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Sealock accept?

Health plans from HealthPartners list Tyler Sealock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Sealock was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.