JARED TYHURST OD PC
NPI 1821277468
Optometrist in Lebanon, VA

Active since October 31, 2007
1614 E MAIN ST, LEBANON, VA 24266(276) 889-1315 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Mar 18, 2020, Dec 14, 2018 (3 updates tracked since 2018).

About Jared Tyhurst Od Pc NPPES

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

JARED TYHURST OD PC (NPI 1821277468) is a healthcare organization registered as an optometrist in Lebanon, Virginia and active in the NPI registry since October 2007. The organization lists Jared Charles Tyhurst, President, as its authorized official.

NPPES Registry Identity

NPI1821277468
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJARED TYHURST OD PC
Location Address1614 E MAIN STLebanon, VA 24266-3446
Mailing AddressPo Box 2020Lebanon, VA 24266-2020
Organization SubpartNo
Authorized OfficialJared Charles TyhurstPresident · (276) 525-0602
Enumeration DateOctober 31, 2007
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1821277468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1614 E MAIN ST, Lebanon, VA 24266

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Tyhurst Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20100930027801DME · Physician - OptometristDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jared Tyhurst Od PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1467945931
1614 MAIN ST
Lebanon, VA 24266
(276) 889-1315
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1770636961
220 CENTURY BLVD
Bristol, TN 37620
(423) 968-2020
✔ PECOS✔ Accepts Medicare27 mi

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Jared Tyhurst Od PC carries, from the Medicare DMEPOS supplier directory.

Jared Tyhurst Od PC

DMEPOS supplier · Lebanon, VA
✔

Accepts Medicare assignment

Jared Tyhurst Od PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20609045
Medicare Participant SinceJanuary 1, 2002
Supplier Location1614 E Main StLebanon, VA 24266
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Jared Tyhurst Od PC's NPI number?

The NPI number for Jared Tyhurst Od PC is 1821277468. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Jared Tyhurst Od PC located?

Jared Tyhurst Od PC is located at 1614 E Main St, Lebanon, VA 24266. The listed phone number is (276) 889-1315.

What is Jared Tyhurst Od PC's specialty?

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

Is Jared Tyhurst Od PC enrolled in Medicare?

Yes. Jared Tyhurst Od PC is registered in the Medicare PECOS enrollment system.

When is Jared Tyhurst Od PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Virginia, Physician - Optometrist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jared Tyhurst Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Jared Tyhurst Od PC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jared Tyhurst Od PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jared Tyhurst Od PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Jared Tyhurst Od PC 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 Jared Tyhurst Od PC 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 Jared Tyhurst Od PC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.