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

Tysen Charles Bringhurst, OD

Individual provider Optometrist · NPI 1447994413

Tysen Charles Bringhurst, OD is an Optometrist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
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

4800 N 22nd St Ste 210
Phoenix, AZ 85016-4963
Phone: (602) 598-7488
Fax: (602) 231-6215
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Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002604 (AZ)

Record details

NPI number1447994413
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022
Mailing address4800 N 22nd St Ste 210, Phoenix, AZ 85016-4963

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