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

Dr. Tyler Xavier De Souza, OD

Individual provider Optometrist · NPI 1972988525

Dr. Tyler Xavier De Souza, OD is an Optometry in Tempe, Arizona. Graduated from New England College of Optometry in 2015, 11 years ago. Practices with Onesource Senior Healthcare PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
11
Trained at
New England College of Optometry
Licensed in
AZ, NY
In the registry since
2015
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

1831 E Buena Vista Dr
Tempe, AZ 85284-2501
Phone: (929) 335-1243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002306 (AZ)
Optometrist Taxonomy 152W00000X · Licence TUV008345 (NY)

Record details

NPI number1972988525
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 24, 2015
Last updated in NPPESMay 30, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Onesource Senior Healthcare Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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