Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER DOERSAM, O.D.
Active Sole ProprietorDR. TYLER DOERSAM, O.D. is a Optometrist healthcare provider located in SAINT CHARLES, Illinois. NPI 1417365123 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAINT CHARLES, IL
Registration Details
- NPI Number
- 1417365123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2014 (12.094594500051 yrs)
- Last Updated
- Mar 11, 2016
- License
-
046010839 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 LAKESIDE DRAPT 434SAINT CHARLES, IL, 601747905Browse IL providers · Browse ZIP 60174
- Phone
- 8158213088
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SAINT CHARLES, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARK W. KRAMER | O.D | 1558393504 |
| DR. DOUGLAS AARON YUVAN | O.D. | 1043234263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.