Kyle Dean Dearing, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4438ATI Issued in OR

Practice address

2615 Almond St
Klamath Falls, OR 97601-1176

Phone

(541) 883-3688

Fax

(541) 883-3687

NPI assigned

Jun 10, 2019

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 OR, CA2 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

Specialty

Optometry

Education

Arizona College of Osteopathic Medicine Mid Western University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dr. Kyle Dearing, O.D, Inc

  • Optometrist
  • Alturas, CA
  • NPI 1861103434
  Medicare reassignment NPD Authorized official
• Klamath Ophthalmology PC

  dba Klamath Eye Center

  • Ophthalmology Physician
  • Klamath Falls, OR
  • NPI 1730148271

  Optometrist

  Medicare reassignment NPD
• Klamath Ophthalmology PC

  dba Downtown Optical

  • Optometrist
  • Klamath Falls, OR
  • NPI 1902041676
  NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1346809787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ALMOND ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011176",
            "telephone_number": "541-883-3688",
            "fax_number": "541-883-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ALMOND ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011176",
            "telephone_number": "541-883-3688",
            "fax_number": "541-883-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Main St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016007",
            "country_code": "US",
            "telephone_number": "541-884-8322",
            "fax_number": "541-884-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 N 1st St Ste C",
            "address_purpose": "LOCATION",
            "city": "Lakeview",
            "state": "OR",
            "postal_code": "976301545",
            "country_code": "US",
            "telephone_number": "541-947-3357",
            "fax_number": "541-947-3368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Thomason Ln",
            "address_purpose": "LOCATION",
            "city": "Alturas",
            "state": "CA",
            "postal_code": "961013150",
            "country_code": "US",
            "telephone_number": "530-233-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARING",
        "first_name": "KYLE",
        "middle_name": "DEAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4438ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500763770",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Day Break Counseling LLC
• Kashia Ann Day Story
• Dianndra De la Cruz
• Devree Jesse Dean De la Rosa-Wilder
• Julie Lynn Deane
• Jennifer Lynne Deatherage, CADCI INTERN
• Derwin Decker, CADC 1
• Shawna Decker
• Stewart Lowell Decker
• Jennifer Deese, LPC

• Optometrist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.