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Tylor Pravongviengkham, OD

NPI 1235880493ActiveIndividual· Optometrist· Gilbert, AZ

Optometrist (OD) in Gilbert, Arizona, trained at Pennsylvania College of Optometry (class of 2021). Mostly services rather than prescriptions: Medicare paid $3,159 for 33 patients in 2024, with only 12 Part D claims. Bausch & Lomb Americas Inc. was the largest of 6 companies reporting payments in 2025, $278.52 in all, mostly food and beverage.

Overview

NPI1235880493
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorNo
NPI issuedJan 10, 2022
Last updated in NPPESFeb 27, 2025
Certified by providerFeb 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XOPT-002670AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (AZ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients33
Services billed59 across 10 procedure codes
Paid by Medicare$3,159

Part D prescriptions in 2024

Prescriptions (claims)12 · 24 30-day fills
Total drug cost$1,021

Medicare sources and data years

Education and affiliations

Medical schoolPennsylvania College of Optometry
Graduation year2021
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$278.52 · 8 payments from 6 companies
  • 2024$657.58 · 17 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$278.52 · 8 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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