Kyle Maxam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6478 Issued in OH

Practice address

430 Arlington Rd Ste a
Brookville, OH 45309-1103

Phone

(937) 770-1265

NPI assigned

May 27, 2016

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

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

University of Missouri St Louis - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyedocs Family Eye CareGroup PAC ID 8325308679, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyedocs Family Eye Care

  • Optometrist
  • Brookville, OH
  • NPI 1912411497
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1124476411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ARLINGTON RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091103",
            "telephone_number": "937-770-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ARLINGTON RD STE A",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091103",
            "telephone_number": "937-770-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXAM",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lamb, PT, AT
• Tabitha Lynn Lansing, LPN
• Mackenzie Starr Lingenfelter, DDS
• Brooke Lucas, M.A CCC-SLP
• Mark E. Schmidt OD
• Katelyn Shelby McCourt, PHARMD, RPH
• Alisha McGriff
• Ellen McHugh, RPH
• Joan Ellen Mendenhall, RN
• Cathleen Renee Middlestetter

• Optometrist in Brookville, OH
• Providers in Brookville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.