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TYLER RAY MANGOLD OD
NPI 1225851819
Optometrist in Trotwood, OH

Active since November 04, 2024PECOS Enrolled
5274 SALEM AVE, TROTWOOD, OH 45426(937) 887-3937 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2025, Nov 4, 2024 (2 updates tracked since 2024).

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

NPI1225851819
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTYLER RAY MANGOLDCredential: OD
Location Address5274 SALEM AVETrotwood, OH 45426-1702
Mailing Address360 Bridle Ln SWest Carrollton, OH 45449-2118 · (513) 465-3613
Phone(937) 887-3937
Sole ProprietorNo
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2024
Enumeration DateNovember 4, 2024
Last NPPES UpdateDecember 26, 20252 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
✔ NPI 1225851819 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 OH · OPT.007441
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.
5274 SALEM AVE, Trotwood, OH 45426
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Other Names 1

Professional Name (2)Tyler Ray Mangold Od

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6103396833
PECOS Enrollment IDI20260522002678
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.

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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

VISION SERVICE CORPORATION
Eyewear Supplier
5274 SALEM AVE
TROTWOOD, OH 45426
Montgomery County (937) 837-3937
EMX EYE CARE PC
Eyewear Supplier
5274 SALEM AVE
TROTWOOD, OH 45426
Montgomery County (937) 837-3937
FAMILY FIRST VISION CARE KENTUCKY, LLC
Optometrist
5274 SALEM AVE
TROTWOOD, OH 45426
Montgomery County (937) 837-3937
JENNIFER J BRANDON O.D.
Optometrist
5274 SALEM AVE
TROTWOOD, OH 45426
Montgomery County (937) 837-3937

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.

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 7 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.