NPI age
6 years
Enumerated 2019-07-15
● Active
Type 1 · Individual
DR. Tyler William Ellsworth, OD
Ellsworth is 1 of 12 optometrist providers in Lithonia and 1 of 2375 in Georgia.
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-07-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2375 active optometrist providers in Georgia.
NPI age
6 years
↓ 10 yr below median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Practice location
8075 Mall Pkwy Ste 103
Lithonia, GA 300386993
Mailing address
8075 Mall Pkwy Ste 103
Lithonia, GA 300386993
Specialties
-
Optometrist PrimaryDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 2375 Optometrist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.