VISION SOURCE OF TYLER
NPI 1255021432
Optometrist in Tyler, TX

Active since May 10, 2023
136 SHELLEY DR, TYLER, TX 75701(903) 561-8686(903) 581-1518 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2023, Nov 17, 2023, Jul 20, 2023 and 1 more (4 updates tracked since 2023).

About Vision Source Of Tyler NPPES

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

VISION SOURCE OF TYLER (NPI 1255021432) is a healthcare organization registered as an optometrist in Tyler, Texas and active in the NPI registry since May 2023. The organization lists Katherine Emge Marshall, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1255021432
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameABC EYECARE
Location Address136 SHELLEY DRTyler, TX 75701-8723
Mailing Address136 Shelley DrTyler, TX 75701-8723 · (903) 520-3408 · Fax (903) 581-1518
Fax(903) 581-1518
Organization SubpartNo
Authorized OfficialKatherine Emge MarshallOwner/optometrist · (903) 561-8686
Enumeration DateMay 10, 2023
Last NPPES UpdateDecember 6, 20234 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1255021432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
136 SHELLEY DR, Tyler, TX 75701

Other Names 1

Doing Business AsVision Source Of Tyler

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Vision Source Of Tyler, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1376670216
136 SHELLEY DR
Tyler, TX 75701
(903) 561-8686
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1093099509
136 SHELLEY DR
Tyler, TX 75701
(903) 561-8686
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1114589132
101 SIMPSON ST
Gilmer, TX 75644
(903) 843-5400
✔ PECOS✔ Accepts Medicare36 mi

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

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 Abc Eyecare's NPI number?

The NPI number for Abc Eyecare is 1255021432. It was assigned to this organization in the NPPES registry on May 10, 2023. The provider is doing business as Vision Source Of Tyler.

Where is Abc Eyecare located?

Abc Eyecare is located at 136 Shelley Dr, Tyler, TX 75701. The listed phone number is (903) 561-8686.

What is Abc Eyecare's specialty?

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

Is Abc Eyecare enrolled in Medicare?

Yes. Abc Eyecare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abc Eyecare?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Abc Eyecare. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Abc Eyecare accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Abc Eyecare 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 Abc Eyecare was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.