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

Dr. Tyler William Ellsworth, OD

Individual provider Optometrist · NPI 1760034110

Dr. Tyler William Ellsworth, OD is an Optometrist in Lithonia, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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

8075 Mall Pkwy Ste 103
Lithonia, GA 30038-6993
Phone: (770) 484-2955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT003180 (GA)

Record details

NPI number1760034110
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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