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Active NPI 1922206036 Individual Practitioner Male Practitioner

Dr. Keith F Tyler , OD

Optometrist • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Tyler, OD is a certified Optometrist practicing in Minneapolis, MN. With approximately 19 years of clinical experience since graduating from Southern California College Of Optometry in 2007, Dr. Tyler delivers high-quality medical care to the local community at 2001 BLAISDELL AVE.

Dr. Tyler is affiliated with Park Nicollet Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2001 Blaisdell Ave

Minneapolis, MN 554042414

Telephone 9529938000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Minneapolis, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +0.7 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
68 Specialists

Practicing in Minneapolis, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tyler (19 Years) 19 Yrs
Minneapolis Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
155 153 $473.00 $124.47
92004 New patient complete exam of visual system
76 76 $559.00 $146.77
99213 Established patient office or other outpatient visit, typically 15 minutes
61 45 $338.00 $85.33

Medical Specialties & State Licenses

CMS Verified: 2023-12-01
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 3143

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IL 9995

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
046009995 (IL)

Hospital & Practice Group Affiliations

Park Nicollet Clinic

2001 Blaisdell Ave, Minneapolis, MN 554042414

Phone: 9529938000

Park Nicollet Clinic

3850 Park Nicollet Blvd, St Louis Park, MN 554162527

Phone: 9529933123

Park Nicollet Clinic

3800 Park Nicollet Blvd, St Louis Park, MN 554162527

Phone: 9529933123

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

300 Lake Dr E, Chanhassen, MN 553179302

Phone: 9529934300

Secondary Practice Locations

2105 W 80 1/2 St Ste C

Bloomington, MN 554311493

Phone: 9528816114

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 01, 2023

Registered at 2001 BLAISDELL AVE, MINNEAPOLIS, MN 554042414 (Tel: 9529938000)

📍
Updated Business Mailing Address December 01, 2023

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2017

Registered at 2105 W 80 1/2 ST STE C, BLOOMINGTON, MN 554311493 (Tel: 9528816114)

📍
Updated Business Mailing Address June 07, 2017

Registered at 2105 W 80 1/2 ST STE C, BLOOMINGTON, MN 554311493 (Tel: (952) 881-6114)

👤
Provider Name / Credentials Updated June 07, 2017

Recorded as KEITH TYLER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Optometrist (License #9995 in IL)

NPI Profile Active July 16, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2009

Registered at 3241 S MICHIGAN AVE, CHICAGO, IL 606163849 (Tel: 3122256200)

📍
Updated Business Mailing Address July 16, 2009

Registered at 3241 S MICHIGAN AVE, CHICAGO, IL 606163849 (Tel: 3122256200)

👤
Provider Name / Credentials Updated July 16, 2009

Recorded as KEITH TYLER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2009

Optometrist (License #9995 in IL)

🟢
Initial NPI Registration & Enumeration July 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922206036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2007
Last Update: December 01, 2023
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.