DR. TYLER WILLIAM ELLSWORTH OD
NPI 1760034110
Optometrist in Lithonia, GA

Q: What is Tyler Ellsworth's NPI number?

The NPI number for Tyler Ellsworth is 1760034110. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Q: What is Tyler Ellsworth'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 Ellsworth was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 15, 2019

8075 MALL PKWY STE 103, LITHONIA, GA 30038(770) 484-2955 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tyler William Ellsworth Od NPPES

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

DR. TYLER WILLIAM ELLSWORTH OD (NPI 1760034110) is an individual optometrist in Lithonia, Georgia, licensed in Georgia (OPT003180) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1760034110

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TYLER WILLIAM ELLSWORTHCredential: OD

Location Address8075 MALL PKWY STE 103Lithonia, GA 30038-6993

Mailing Address8075 Mall Pkwy Ste 103Lithonia, GA 30038-6993 · (770) 484-2955

Phone(770) 484-2955

Sole ProprietorYes

Enumeration DateJuly 15, 2019

✔ NPI 1760034110 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 GA · OPT003180

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.

8075 MALL PKWY STE 103, Lithonia, GA 30038

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

AMERICA'S BEST CONTACTS & EYEGLASSES

Eyewear Supplier

8075 MALL PKWY STE 103, STONECREST PROMENADE
LITHONIA, GA 30038

Dekalb County (770) 484-2955

DR. PHILLIP JUSTIN KELLY

Student in an Organized Health Care Education/Training Program

8075 MALL PKWY STE 103
LITHONIA, GA 30038

Dekalb County (770) 484-2955

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 Ellsworth's NPI number?

The NPI number for Tyler Ellsworth is 1760034110. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Tyler Ellsworth located?

Tyler Ellsworth practices at 8075 Mall Pkwy Ste 103, Lithonia, GA 30038. The listed phone number is (770) 484-2955.

What is Tyler Ellsworth's specialty?

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

What insurance does Tyler Ellsworth accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Tyler Ellsworth 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 Ellsworth was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.