Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tyler Kitzman, OD

Individual provider Optometrist · NPI 1164875787

Dr. Tyler Kitzman, OD is an Optometry in Memphis, Tennessee. Graduated from Southern College of Optometry in 2016, 10 years ago. Practices with Southern College of Optometry, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Tennessee.

Years since qualifying
10
Trained at
Southern College of Optometry
Licensed in
OK, TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1225 Madison Ave
Memphis, TN 38104-2211
Phone: (901) 722-3250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 N Grand Ave, Tahlequah, OK 74464-7017 — (918) 458-2108

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3407 (TN)
Optometrist Taxonomy 152W00000X · Licence 2891 (OK)

Record details

NPI number1164875787
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESJuly 21, 2022
Mailing address1225 Madison Ave, Memphis, TN 38104-2211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Southern College Of Optometry — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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