Doctor profile · Federal record

Dr. Jacquelyn Tyra, OD

Optometrist (CMS: Optometry) · Ashburn, VA

  • NPI 1154896363
  • Accepts Medicare
  • 7 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
43490 Yukon Dr Ste 200
Ashburn, VA 201477315
(703) 724-0330
Mailing address
21735 Pinewood CT
Sterling, VA 201642300

Credentials & registration

NPPES · NUCC
NPI registered
October 2018 — 8 yrs on file
Profile last updated
May 23, 2023
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Virginia #0618002779

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154896363. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$127
Transactions
6
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Oyster Point Pharma, INC. 2 $51.18
Alcon Vision LLC 2 $39.60
Bausch & Lomb Americas INC. 2 $36.64

By nature of payment

Food and Beverage
$127

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacquelyn Tyra's medical specialty?
Dr. Jacquelyn Tyra practices Optometrist in Ashburn, VA.
Where does Dr. Jacquelyn Tyra practice?
Dr. Jacquelyn Tyra practices at 43490 Yukon Dr Ste 200, Ashburn, VA 201477315. Office phone: 7037240330.
What is Dr. Jacquelyn Tyra's NPI?
Dr. Jacquelyn Tyra's National Provider Identifier (NPI) is 1154896363, issued by NPPES.
Does Dr. Jacquelyn Tyra accept Medicare assignment?
Yes. Dr. Jacquelyn Tyra accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.