Kyle Edward Kragenbrink, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT3104 Issued in TN

Practice address

5323 Mount View Rd
Antioch, TN 37013-2308

Phone

(615) 731-8900

Fax

(615) 731-8990

NPI assigned

Jun 18, 2013

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 TN

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steven G Schoemer PCGroup PAC ID 7416848080, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Steven G Schoemer PC

  • Optometrist
  • Springfield, TN
  • NPI 1225228166
  Medicare reassignment Care Compare group NPD
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289
  NPD
• C&V Opticals,Inc.

  • Optician
  • Tullahoma, TN
  • NPI 1750418000
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1437598992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MT. VIEW RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-731-8900",
            "fax_number": "615-731-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 MOUNT VIEW RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132308",
            "telephone_number": "615-731-8900",
            "fax_number": "615-731-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3563 Tom Austin Hwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371723939",
            "country_code": "US",
            "telephone_number": "615-384-5225",
            "fax_number": "615-384-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAGENBRINK",
        "first_name": "KYLE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvin Jelimo Kibet
• NA Yon Kim
• Savina Louise Kimbrough, FNP
• Tonia Denise King, RN
• Pauline S. Kong-Mean, APRN
• Kroger Limited Partnership I
• Ashtyn Kubow, RBT
• Barbara Laifer
• Elaina Laikos, DPT
• Alisha Lampley

• Optometrist in Antioch, TN
• Providers in Antioch, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.