DR. TYLER S ROSE OD
NPI 1942668389
Optometrist in East Lansing, MI

Q: What is Tyler Rose's NPI number?

The NPI number for Tyler Rose is 1942668389. It was assigned to this individual provider in the NPPES registry on January 30, 2016.

Q: What is Tyler Rose'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 Rose was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 30, 2016PECOS EnrolledAccepts Medicare Assignment

330 W LAKE LANSING RD, EAST LANSING, MI 48823(517) 337-8182(517) 332-0038 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Apr 17, 2017, Jan 30, 2016 (3 updates tracked since 2016).

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About Dr. Tyler S Rose Od NPPES

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

DR. TYLER S ROSE OD (NPI 1942668389) is an individual optometrist in East Lansing, Michigan, licensed in Michigan (4901005104) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2016).

NPPES Registry Identity

NPI1942668389

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TYLER S ROSECredential: OD

Location Address330 W LAKE LANSING RDEast Lansing, MI 48823-8527

Mailing AddressPo Box 208177Dallas, TX 75320-8177 · (636) 200-4393 · Fax (636) 527-0766

Phone(517) 337-8182

Fax(517) 332-0038

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2016

Enumeration DateJanuary 30, 2016

Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1942668389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MI · 4901005104✔ Licensed in NV · 905

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.

330 W LAKE LANSING RD, East Lansing, MI 48823

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Secondary Practice Locations 7

Location 12117 E Grand River AveLansing, MI 48912-3231 · Phone (517) 485-2213 · Fax (517) 485-2220

Location 25700 Marsh RdHaslett, MI 48840-8987 · Phone (517) 339-4100

Location 3124 N MainPerry, MI 48872-5103 · Phone (517) 339-4100

Location 456847 N Main StThree Rivers, MI 49093-9615 · Phone (269) 273-2020 · Fax (269) 279-6010

Location 5350 Marshall StColdwater, MI 49036-1175 · Phone (517) 278-6303 · Fax (517) 278-8656

Location 622 N Telegraph RdPontiac, MI 48341-1166 · Phone (248) 332-2895 · Fax (248) 332-4896

Location 75961 LOS ALTOS PKWY, STE 101SPARKS, NV 89436-2501 · Phone (775) 359-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tyler S Rose Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032495270

PECOS Enrollment IDI20221117001764

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.

Areas of Expertise CMS Part B claims 3

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 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.

65 services43 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

22 services22 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 15

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

SAGE M HALES-HO LMSW

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