Individual provider Active NPI

Kyleigh G McKeever, O.D.

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1306228242
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8646T Issued in TX
Practice address
5311 SW 9TH Ave
Amarillo, TX 79106-4161
Phone
(806) 359-3937
NPI assigned
Jun 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8646T TX Primary

Addresses

Primary practice location

5311 SW 9TH Ave
Amarillo, TX 79106-4161

Mailing address

5311 SW 9TH Ave
Amarillo, TX 79106-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150903000545 TX Practitioner - Optometry 9931415056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Laura Stancik, Optometrist, P. C.Group PAC ID 3971598418, 3 clinicians

Practice addresses (Care Compare)

4210 Kell Blvd
Suite 108
Wichita Falls, TX 76309-4813
Phone (940) 692-9696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8646TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Laura Stancik, Optometrist, P. C. Optometrist CurrentSince Nov 1, 2018 Accepting new patients
John J Alpar MD PA PastSince Aug 16, 2009 Accepting new patients

Locations

4210 Kell Blvd
Ste 108
Wichita Falls, TX 76309
Phone (940) 692-9696

Organizations & group practices 2

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": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1306228242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064161",
            "telephone_number": "806-359-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "KYLEIGH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8646T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.