Active NPI
John D. Kivle, O.D.
- Optometrist
- Spokane, WA
National Provider Identifier
1376541110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001237
- Practice address
- 427 S Bernard St
Spokane, WA 99204-2509 - Phone
- (509) 456-0107
- Fax
- (509) 747-2635
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
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 | OD00001237 | WA | Primary |
Addresses
Primary practice location
427 S Bernard St
Spokane, WA 99204-2509
Mailing address
427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 456-0107
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60666 | Other | WA | LABOR AND INDUSTRIES |
| WA0690 | Other | WA | NORTHWEST BENEFIT NETWORK |
| A019 | Other | WA | TRICARE |
| K17136 | Other | WA | ASURIS(REGENCE NW HEALTH) |
| 1315 | Other | WA | GROUP HEALTH |
| 000010008325 | Other | ID | ASURIS(REGENCE BS OF ID) |
| 2006724 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376541110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 S BERNARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042509",
"telephone_number": "509-456-0107",
"fax_number": "509-747-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 S BERNARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042509",
"telephone_number": "509-456-0107",
"fax_number": "509-747-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIVLE",
"first_name": "JOHN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "60666",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWEST BENEFIT NETWORK",
"identifier": "WA0690",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A019",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS(REGENCE NW HEALTH)",
"identifier": "K17136",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "1315",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS(REGENCE BS OF ID)",
"identifier": "000010008325",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006724",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.