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TYLER NELSON
NPI 1770104069
Optometrist in Bellevue, WA

Active since April 28, 2020PECOS Enrolled
4957 LAKEMONT BLVD SE STE C5, BELLEVUE, WA 98006(425) 746-0908(425) 998-8950 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, Jul 23, 2024, Mar 3, 2023 and 1 more (4 updates tracked since 2020).

About Tyler Nelson NPPES

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

TYLER NELSON (NPI 1770104069) is an individual optometrist in Bellevue, Washington, licensed in Washington (OD61200063) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770104069
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTYLER NELSON
Location Address4957 LAKEMONT BLVD SE STE C5Bellevue, WA 98006-7801
Mailing Address4957 Lakemont Blvd Se Ste C5Bellevue, WA 98006-7801 · (425) 746-0908 · Fax (425) 998-8950
Phone(425) 746-0908
Fax(425) 998-8950
Sole ProprietorNo
Enumeration DateApril 28, 2020
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1770104069 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 WA · OD61200063
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.
4957 LAKEMONT BLVD SE STE C5, Bellevue, WA 98006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Premera Blue Cross Blue Shield of Alaska.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 Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyler Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyecare Partners, PLLC
4.9 mi
Corneal and Contact Management
22620 SE 4TH ST STE 110
Sammamish, WA 98074
  • Reassigned Medicare billing, Washington enrollment
  • 10 clinicians in this Medicare group
NPI 1235628579 (425) 242-6868
Cherokee Nation
1,533 mi
Multi-Specialty
395200 W 2900 RD
Ochelata, OK 74051
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1871972430 (918) 535-6000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
16 services14 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98006 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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 Nelson's NPI number?

The NPI number for Tyler Nelson is 1770104069. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Tyler Nelson located?

Tyler Nelson practices at 4957 Lakemont Blvd SE Ste C5, Bellevue, WA 98006. The listed phone number is (425) 746-0908.

What is Tyler Nelson's specialty?

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

Is Tyler Nelson enrolled in Medicare?

Yes. Tyler Nelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tyler Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Nelson reassigns Medicare benefits to 2 organizations: Eyecare Partners, PLLC (Sammamish, WA) and Cherokee Nation (Ochelata, OK). 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 Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield and Premera Blue Cross Blue Shield of Alaska list Tyler Nelson 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 Nelson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.