Tyler Ray Mangold, OD is a medicare enrolled "Optometrist" provider in Trotwood, Ohio. He went to International American University At Puerto Rico - School Of Optometry and graduated in 2024 and has 2 years of diverse experience with area of expertise as Optometry. His current practice location is
5274 Salem Ave, Trotwood, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 887-3937.
Tyler Ray Mangold is licensed to practice in Ohio (license number OPT.007441) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225851819.
Healthcare Provider's Profile
| Full Name | Tyler Ray Mangold |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 2 Years |
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| Location | 5274 Salem Ave, Trotwood, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler Ray Mangold attended and graduated from International American University At Puerto Rico - School Of Optometry in 2024
NPI Data:
- NPI Number: 1225851819
- Provider Enumeration Date: 11/04/2024
- Last Update Date: 12/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103396833
- Enrollment ID: I20260522002678
Medical Identifiers
Medical identifiers for Tyler Ray Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225851819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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
enrolled with medicare and thus, if eligible, can 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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