Doctor profile · Federal record
Dr. Tylor Pravongviengkham, OD
Optometrist (CMS: Optometry) · Gilbert, AZ
- NPI 1235880493
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4915 E Baseline RD Ste 115
Gilbert, AZ 852342966
(480) 279-4400
Credentials & registration
- NPI registered
- January 2022 — 4 yrs on file
- Profile last updated
- February 27, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Arizona #OPT-002670
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235880493. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$658
Transactions
17
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas INC. | 5 | $291.68 | |
| Alcon Vision LLC | 6 | $219.27 | |
| Johnson & Johnson Vision Care, INC. | 3 | $62.74 | |
| Tarsus Pharmaceuticals, INC. | 1 | $37.66 | |
| Dompe US, INC. | 1 | $27.31 | |
| Oyster Point Pharma, INC. | 1 | $18.92 |
By nature of payment
Frequently asked questions
What is Dr. Tylor Pravongviengkham's medical specialty?
Dr. Tylor Pravongviengkham practices Optometrist in Gilbert, AZ.
Where does Dr. Tylor Pravongviengkham practice?
Dr. Tylor Pravongviengkham practices at 4915 E Baseline RD Ste 115, Gilbert, AZ 852342966. Office phone: 4802794400.
What is Dr. Tylor Pravongviengkham's NPI?
Dr. Tylor Pravongviengkham's National Provider Identifier (NPI) is 1235880493, issued by NPPES.
Does Dr. Tylor Pravongviengkham accept Medicare assignment?
Yes. Dr. Tylor Pravongviengkham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.