Individual provider Active NPI

Kyle Garner, OD

  • Optometrist
  • Murray, KY
National Provider Identifier
1205629128
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2465DT Issued in KY
Practice address
817 N 12TH St
Murray, KY 42071-1648
Phone
(270) 753-2842
NPI assigned
May 23, 2025
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2465DT KY Primary

Addresses

Primary practice location

817 N 12TH St
Murray, KY 42071-1648

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other practice location 1

1748 Broadway St
Paducah, KY 42001-2706
Phone (270) 443-9955

Other practice location 2

1400 Commonwealth Dr
Mayfield, KY 42066-6845
Phone (270) 247-2417

Other practice location 3

109 W 5th St
Benton, KY 42025-1123
Phone (270) 527-7421

Other practice location 4

43 Industrial Pkwy
Calvert City, KY 42029-8416
Phone (270) 906-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20260130002740 KY Practitioner - Optometry 1557849528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

817 N 12TH St
Murray, KY 42071-1648
Phone (270) 753-2842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2465DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

109 W 5th St
Benton, KY 42025
Phone (270) 527-7421

43 Industrial Pkwy
Calvert City, KY 42029
Phone (270) 395-8331

3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500

1400 Commonwealth Dr
Mayfield, KY 42066
Phone (270) 247-2417

817 N 12th St
Murray, KY 42071
Phone (270) 753-2842

1748 Broadway St
Paducah, KY 42001
Phone (270) 443-9955

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1205629128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711648",
            "telephone_number": "270-753-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1748 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420012706",
            "country_code": "US",
            "telephone_number": "270-443-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420666845",
            "country_code": "US",
            "telephone_number": "270-247-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420251123",
            "country_code": "US",
            "telephone_number": "270-527-7421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Industrial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Calvert City",
            "state": "KY",
            "postal_code": "420298416",
            "country_code": "US",
            "telephone_number": "270-906-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2465DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.