Kyle Lark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005111 Issued in MI

Practice address

1321 Pine Ave
Alma, MI 48801-1242

Phone

(989) 463-1139

Fax

(989) 466-2808

NPI assigned

May 29, 2018

Last updated

May 29, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Seals Tacia and Bartz OD PCGroup PAC ID 5294854105, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.23 of 100Reported as group

Quality

43.82

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.lark@mieyedoctor.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seals Tacia & Bartz OD PC

  dba Alma Optics

  • Optometrist
  • Alma, MI
  • NPI 1740345701
  Medicare reassignment Care Compare group NPD
• Seals Tacia & Bartz OD PC

  dba InSight EyeCare

  • Optometrist
  • Calumet, MI
  • NPI 1720256845
  NPD
• Seals Tacia & Bartz OD PC

  dba Pleasant Optics

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1861559619
  NPD
• Seals Tacia & Bartz OD PC

  dba State Street Optics

  • Optometrist
  • Alma, MI
  • NPI 1043965205
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1346731163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-1139",
            "fax_number": "989-466-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-1139",
            "fax_number": "989-466-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Main Street",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "MI",
            "postal_code": "48811",
            "country_code": "US",
            "telephone_number": "989-584-6868",
            "fax_number": "989-584-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488589085",
            "country_code": "US",
            "telephone_number": "989-773-7747",
            "fax_number": "989-779-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARK",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landen Lake
• Lexis Caitlin Landis
• Pam R Lang
• Victoria Langley, PHARMD
• Jeffrey A Langlois, LPC-TL
• Megan Louise Lark, OD
• Vanessa A Larouche, MD
• Katie Larson, CHW
• Shelly Lawrence
• Thomas Layton

• Optometrist in Alma, MI
• Providers in Alma, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.