Active NPI
Kyle Klute
- Optometrist
- Battle Creek, MI
National Provider Identifier
1235556804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004771 | MI | MD | Optometrist |
| 1418 | NE | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klute Optometry Services, LLC | Optometrist | Current | Accepting new patients |
| Gle Glenwood LLC | Optometrist | Current | Accepting new patients |
| Vision Specialists of Council Bluffs LLC | Optometrist | Past | Accepting new patients |
| Invisions, PC | Past | Accepting new patients | |
| Focused Eye Care | Past | 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
- 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.
-
- Optometrist
- Glenwood, IA
- NPI 1821709957
-
- Optometrist
- Omaha, NE
- NPI 1215579180
-
- Optometrist
- Glenwood, IA
- NPI 1376660340
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1215010293
-
- Eyewear Supplier
- Omaha, NE
- NPI 1679753024
-
- Optometrist
- Council Bluffs, IA
- NPI 1831377084
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.