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Tyler William Ellsworth, OD

NPI 1760034110ActiveIndividual· Optometrist· Lithonia, GA

Optometrist (OD) in Lithonia, Georgia, licensed in GA, with an NPI issued in July 2019. Part D covered 11 prescriptions written in 2024. Alcon Vision LLC reported $211.37 in payments in 2024, mostly food and beverage.

Overview

NPI1760034110
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorYes
NPI issuedJul 15, 2019
Last updated in NPPESJul 15, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XOPT003180GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)11 · 14 30-day fills
Total drug cost$1,257

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$211.37 · 2 payments from 1 company

Top paying companies in 2024

CompanyAmountPayments
Alcon Vision LLC$211.372

What the 2024 payments were for

  • Food and Beverage$211.37 · 2 payments

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

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