DR. GARY RICHARD TYLOCK MD - NPI 1679576920 - Ophthalmology in Irving, TX

Q: What is Gary Tylock's NPI number?

The NPI number for Gary Tylock is 1679576920. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Gary Tylock's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Tylock was last updated on August 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Gary Richard Tylock Md NPPES

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

DR. GARY RICHARD TYLOCK MD (NPI 1679576920) is an individual ophthalmology provider in Irving, Texas, licensed in Texas (G2869) and active in the NPI registry since May 2005. He holds a CLIA Waiver certificate valid through May 21, 2028.

NPPES Registry Identity

NPI1679576920

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. GARY RICHARD TYLOCKCredential: MD

Location Address3100 N MACARTHUR BLVDIrving, TX 75062-4451

Mailing Address3100 N Macarthur BlvdIrving, TX 75062 · (972) 258-6400 · Fax (972) 570-1103

Phone(972) 258-6400

Fax(972) 570-1103

Sole ProprietorNo

Enumeration DateMay 31, 2005

Last NPPES UpdateAugust 19, 20214 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1679576920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · G2869

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License G2869 (TX)

3100 N MACARTHUR BLVD, Irving, TX 75062

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Other Identifiers 1

Other1770753519TX · Group Npi

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2344485

Gary R Tylock, MD, PA · Irving, TX

Active · expires May 21, 2028

CLIA Number45D2344485

Laboratory TypePhysician Office

Certificate Effective DateMay 22, 2026

Certificate Expiration DateMay 21, 2028

Laboratory DirectorTaj-Addin Nasser

Laboratory Phone(972) 258-6400

Laboratory LocationGary R Tylock, MD, PA3100 N Macarthur Blvd, Irving, TX 75062

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. ALANNA RAE O'KEEFE O.D.

Optometrist

3100 N MACARTHUR BLVD, TYLOCK EYE CARE AND LASER CENTER
IRVING, TX 75062

Dallas County (972) 258-6400

DR. DAVID MUIR SHINPAUGH OD

Optometrist