Tyler Ray Mangold, OD is a
Optometrist based in Trotwood, Ohio. Tyler Ray Mangold is licensed to practice in Ohio (license number OPT.007441) and his current practice location is
5274 Salem Ave, Trotwood, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 887-3937.
NPI number for Tyler Ray Mangold is 1225851819 and his current mailing address is 360 Bridle Ln S, West Carrollton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225851819.
Healthcare Provider's Profile
| Full Name | Tyler Ray Mangold |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 5274 Salem Ave, Trotwood, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225851819
- Provider Enumeration Date: 11/04/2024
- Last Update Date: 12/26/2025
Medical Identifiers
Medical identifiers for Tyler Ray Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225851819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | OPT.007441 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Ray Mangold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tyler Ray Mangold, OD 360 Bridle Ln S, West Carrollton, OH 45449-2118 Ph: (513) 465-3613 | Tyler Ray Mangold, OD 5274 Salem Ave, Trotwood, OH 45426-1702 Ph: (937) 887-3937 |
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