Kyler James Popp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005464 Issued in MI

Practice address

42550 Garfield Rd Ste 101
Clinton Township, MI 48038-1644

Phone

(586) 263-9708

NPI assigned

Aug 9, 2020

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 MI

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometry PCGroup PAC ID 3173437118, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpopp688233@direct.hfhs.org

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.

• Optometry, P.C.

  dba Family Eye Care Associates

  • Optometrist
  • Clinton TWP, MI
  • NPI 1205863727
  Medicare reassignment Care Compare group NPD
• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment NPD
• Optometry, P.C.

  dba Family Eye Care Associates

  • Optometrist
  • Washington TWP, MI
  • NPI 1831438746
  NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1124638606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD STE 101",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD STE 101",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "KYLER",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-09",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Polanco Serra, MD
• Mike Polewski, PA
• John Polyzois, DO
• Leon Popaj, MD
• Haley Melissa Pope, DO
• Port Huron Therapy Center LLC (Midwest Therapy Center)
• Deborah Disanto Porter, OTR/L
• Nichole Diamond Porter
• Sarah J Posson, DPT
• Karen Marie Potchynok-Lund, D.P.M.

• Optometrist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.