Individual provider Active NPI

Kylee Devin Swingle, OD

  • Optometrist
  • McConnelsville, OH
National Provider Identifier
1407421407
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006942 Issued in OH
Practice address
71 E Main St
McConnelsville, OH 43756-1180
Phone
(740) 962-4281
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006942 OH Primary

Addresses

Primary practice location

71 E Main St
McConnelsville, OH 43756-1180

Mailing address

9737 Stoneburner Rd NW
Crooksville, OH 43731-9647
Phone (740) 704-7011

Other practice location 1

505 5th Street #C
Beverly, OH 45715
Phone (740) 984-4218

Other practice location 2

33 E Main St
New Concord, OH 43762-1214
Phone (740) 826-1111

Other practice location 3

111 3rd St
Marietta, OH 45750-3107
Phone (740) 373-2069

Other names 1

  • Kylee Devin Gibeaut Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210622003124 OH Practitioner - Optometry 1850792326 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Eye Care Associates of Marietta LLCGroup PAC ID 6608158696, 6 clinicians
Eye Care Associates of Beverly LLCGroup PAC ID 1759664188, 2 clinicians
Eye Care of McConnelsville LLCGroup PAC ID 3072640630, 3 clinicians

Practice addresses (Care Compare)

111 S 3Rd St
Marietta, OH 45750-3111
Phone (740) 373-2069

505 5TH St
Suite C
Beverly, OH 45715-8916
Phone (740) 984-4218

71 E Main St
McConnelsville, OH 43756-1180
Phone (740) 962-4281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006942OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Marietta LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Eye Care of McConnelsville LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Eye Care Associates of Belpre Optometrist CurrentSince Jul 23, 2021 Accepting new patients
Eye Care Associates of Beverly LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Aaron B Lawrence Optometrist Past Accepting new patients
Vision First LLC Optometrist Past Accepting new patients

Locations

2201 Washington Blvd
Belpre, OH 45714
Phone (740) 423-6533

111 S 3rd St
Marietta, OH 45750
Phone (740) 373-2069

71 E Main St
McConnelsvle, OH 43756
Phone (740) 962-4281

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1407421407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 STONEBURNER RD NW",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437319647",
            "telephone_number": "740-704-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 E MAIN ST",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561180",
            "telephone_number": "740-962-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 5th Street #C",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "OH",
            "postal_code": "45715",
            "country_code": "US",
            "telephone_number": "740-984-4218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Concord",
            "state": "OH",
            "postal_code": "437621214",
            "country_code": "US",
            "telephone_number": "740-826-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 3rd St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503107",
            "country_code": "US",
            "telephone_number": "740-373-2069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINGLE",
        "first_name": "KYLEE",
        "middle_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "GIBEAUT",
            "middle_name": "DEVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McConnelsville, OH

Sources for this page

Verify at the official NPI Registry.