Kyle David Treick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2346 Issued in CO

Practice address

702 W Drake Rd BLDG B
Fort Collins, CO 80526-5563

Phone

(970) 221-4811

Fax

(970) 221-4815

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Associates, P.C.Group PAC ID 1254222037, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Eyecare Associates, P.C.

  • Optometrist
  • Fort Collins, CO
  • NPI 1457566143
  Medicare reassignment Care Compare group NPD
• Eyecare Associates, P.C.

  • Optometrist
  • Fort Collins, CO
  • NPI 1609747997
  NPD
• Family Vision Center, Inc

  • Optometrist
  • Eugene, OR
  • NPI 1275678286
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1235129115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD BLDG B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265563",
            "telephone_number": "970-221-4811",
            "fax_number": "970-221-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD BLDG B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265563",
            "telephone_number": "970-221-4811",
            "fax_number": "970-221-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREICK",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2346",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT2346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67481540",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@eca.eyefinity-direct.com",
            "affiliation": "N",
            "endpointDescription": "pt messaging portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 W Drake Rd Bldg B",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805265563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary R Traver, BA
• Travis Willey, DDS PC
• Maggie Treadway, RN, ASN
• Stephen A Treat, M.D.
• Erin Trebon, LCSW
• Darren E Tremblay
• Dale Trevino, PHD
• Serge Trezy
• Satya Raj John Trikha
• Sara Trimble, CMT

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.