Kevin Kyle Edward Carl, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02658 Issued in MO

Practice address

1200 Winchester Dr
Sedalia, MO 65301-2467

Phone

(660) 826-2642

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

University Alabama Birmingham - School of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic LLC 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.51 of 100Reported as individual

Quality

37.65

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: k.carl@theeyeclinic.direct.eyemdemr.com

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.

• Eye Clinic LLC

  • Optometrist
  • Sedalia, MO
  • NPI 1932330529

  MO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Eye Clinic LLC

  • Optometrist
  • Versailles, MO
  • NPI 1548591837
  Care Compare group NPD Authorized official
• Kevin K.E. Carl, O.D.

  • Optometrist
  • Sedalia, MO
  • NPI 1770524522
  NPD (past) Authorized official
• Kevin K.E. Carl, O.D. Dba Eye Clinic

  • Optometrist
  • Versailles, MO
  • NPI 1174561773
  NPD (past) Authorized official

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1326043787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012467",
            "telephone_number": "660-826-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012467",
            "telephone_number": "660-826-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "KEVIN",
        "middle_name": "KYLE EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312204027",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Cain
• Shawn William Cairer
• Aimee Marie Caldwell
• Andrew Campbell, LMSW
• Desmon Paige Carl, O.D.
• William E. Carlile, M.D.
• Beth Carlton, MOT, OTR/L
• Lynda G Carlyle, FNP
• Arielle Carnes
• Caslo Group Home

• All providers in Sedalia, MO
• Optometrist in Missouri

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

Verify at the official NPI Registry.