Kyle Robert Booher, O.D.
Individual provider Active NPI Optometrist · Eaton Rapids, MI
NPI 1144320771 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144320771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004050 (MI)
- Practice address
- 136 S Main St
Eaton Rapids, MI 48827-1068 - Phone
- (517) 663-2020
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eaton Rapids Eye Care PC
Practice addresses (Care Compare)
136 S Main St
Eaton Rapids, MI 48827-1068
Phone (517) 663-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.11 of 100
- Quality
- 76.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070706000224 | MI | Practitioner - Optometry | 0143320036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaton Rapids Eye Care PC | Optometrist | Current |
Accepting new patients |
| Thornapple Ophthalmology Assoc PC | Optometrist | Past |
Accepting new patients |
| Lansing Ophthalmology, P.C. | Optometrist | Past | Accepting new patients |
Locations
136 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2020
Interoperability endpoints
- kyle.booher@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004050 | MI | Yes |
Addresses
Primary practice location
136 S Main St
Eaton Rapids, MI 48827-1068
Mailing address
136 S Main St
Eaton Rapids, MI 48827-1068
Phone (517) 663-2020
Other providers in Eaton Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.