Individual provider Active NPI

Kyle Klute

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1235556804
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004771 Issued in MI
Practice address
5500 Armstrong Rd
Battle Creek, MI 49037-7314
Phone
(269) 966-5600
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004771 MI Primary

Addresses

Primary practice location

5500 Armstrong Rd
Battle Creek, MI 49037-7314

Mailing address

4539 Gull Prairie PL Apt 3a
Kalamazoo, MI 49048-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140730001634 NE Practitioner - Optometry 6901022813 Reassigns benefits to 1 organization
I20230131002022 IA Practitioner - Optometry 6901022813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gle Glenwood LLCGroup PAC ID 6406227305, 2 clinicians

Practice addresses (Care Compare)

15655 Pacific St
Suite 101
Omaha, NE 68118-2114
Phone (402) 697-5122

406 1St St
Glenwood, IA 51534-1706
Phone (712) 527-4468

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4901004771MIMDOptometrist
1418NEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klute Optometry Services, LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Gle Glenwood LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Vision Specialists of Council Bluffs LLC Optometrist Past Accepting new patients
Invisions, PC PastSince Oct 3, 2018 Accepting new patients
Focused Eye Care PastSince Sep 19, 2016 Accepting new patients
Elwood M Young OD PC Optometrist Past Accepting new patients

Locations

406 1st St
Glenwood, IA 51534
Phone (712) 322-1885

15655 Pacific St
Ste 101
Omaha, NE 68118
Phone (402) 309-9244

Interoperability endpoints

  • Direct secure messaging: kyle.klute@direct.revolutionehr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1235556804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 GULL PRAIRIE PL APT 3A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490483097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377314",
            "telephone_number": "269-966-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTE",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.