TYLER RAY MANGOLD OD
NPI 1225851819
Optometrist in Trotwood, OH
About Tyler Ray Mangold Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER RAY MANGOLD OD (NPI 1225851819) is an individual optometrist in Trotwood, Ohio, licensed in Ohio (OPT.007441) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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 Ray Mangold Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Mangold reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Mitchell, KY 41017
- Reassigned Medicare billing, Ohio enrollment
- 16 clinicians in this Medicare group
Columbus, OH 43240
- Reassigned Medicare billing, Ohio enrollment
- 52 clinicians in this Medicare group
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 45426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mangold's NPI number?
The NPI number for Tyler Mangold is 1225851819. It was assigned to this individual provider in the NPPES registry on November 4, 2024. The provider is also known as Tyler Ray Mangold Od.
Where is Tyler Mangold located?
Tyler Mangold practices at 5274 Salem Ave, Trotwood, OH 45426. The listed phone number is (937) 887-3937.
What is Tyler Mangold's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tyler Mangold enrolled in Medicare?
Yes. Tyler Mangold is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tyler Mangold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Mangold reassigns Medicare benefits to 2 organizations: Family First Vision Care Kentucky, LLC (Fort Mitchell, KY) and Family First Vision Care, LLC (Columbus, OH). Each 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 Mangold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Mangold accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Tyler Mangold 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 Mangold was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tyler Ray Mangold, OD · NPI 1225851819
Optometrist provider in Trotwood, Ohio. Individual provider, active in the CMS NPPES registry since November 4, 2024.
## Identity
- **NPI:** 1225851819 (Entity type: Individual)
- **Enumerated:** November 4, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT.007441 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5274 SALEM AVE, Trotwood, OH 45426-1702
- **Phone:** (937) 887-3937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Family First Vision Care Kentucky, LLC (NPI 1396396750, Fort Mitchell, KY); Family First Vision Care, LLC (NPI 1427462183, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** International American University At Puerto Rico - School Of Optometry, class of 2024
## Record status
- **NPPES last updated:** December 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225851819) · Data from the CMS NPPES public registry.