Kyle Crance, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60659429 Issued in WA

Practice address

205 S Washington Ave
Newport, WA 99156-9670

Phone

(509) 447-2945

NPI assigned

Apr 27, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Washington EyecareGroup PAC ID 3870925092, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeastern Washington Eyecare

  • Optometrist
  • Newport, WA
  • NPI 1629638929
  Medicare reassignment Care Compare group NPD Authorized official
• Grant W. Hardan OD PLLC

  • Clinic/Center
  • Spokane, WA
  • NPI 1962700344
  Medicare reassignment NPD
• Northeastern Washington Eyecare

  • Optometrist
  • Colville, WA
  • NPI 1811647605
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1114372000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 S DEARBORN LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231536",
            "telephone_number": "509-844-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S WASHINGTON AVE",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569670",
            "telephone_number": "509-447-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Oak St",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991142846",
            "country_code": "US",
            "telephone_number": "509-684-5278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANCE",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60659429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G Cool, DMD
• Karen Joyce Cooper
• Mikaela Louise Corigliano, PA-C
• Country Living Inhome Care LLC
• Country Living Transportation LLC
• Cheryl Dalton
• Shawn Nicholas Dauenhauer
• Donald James Dechenne, RPH
• Michele Denune-Dement
• Catherine Donofrio, PTA

• Optometrist in Newport, WA
• Providers in Newport, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.