Kyle Sherwood

Primary specialty

OptometristTaxonomy code 152W00000X

License

2019021897 Issued in MO

Practice address

16978 Manchester Rd
Wildwood, MO 63040-1200

Phone

(636) 273-6336

NPI assigned

Jun 20, 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

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri St Louis - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nucrown, LLCGroup PAC ID 1456256346, 22 clinicians

Practice addresses (Care Compare)

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.

• Nu-Crown, LLC

  • Optometrist
  • Alton, IL
  • NPI 1295737294

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Paige Hedgpath OD,PC

  • Optometrist
  • Jefferson City, MO
  • NPI 1962644732

  MO, Optometrist

  Medicare reassignment NPD
• Nu-Crown, LLC

  • Optometrist
  • Ballwin, MO
  • NPI 1710045810
  Care Compare group
• Nucrown, LLC

  • Optometrist
  • Bridgeton, MO
  • NPI 1730586629
  Care Compare group
• Nucrown,Inc.

  • Optometrist
  • St. Charles, MO
  • NPI 1114337102
  NPD
• Paige Hedgpath Odpc

  • Optometrist
  • Columbia, MO
  • NPI 1669530887
  NPD

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1508426503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 WESTHILLS PARK DR UNIT 2318",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630114764",
            "telephone_number": "636-368-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16978 MANCHESTER RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401200",
            "telephone_number": "636-273-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019021897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Schaeffer, MD
• Maria Schepis, ANP-C
• Barbara Lois Seep, NP-C
• Shreya Sharma
• Alexandra Sheeley, PHARMD
• James Wesley Sites, CRNFA
• E Denise Smith, MA, PLPC
• Holly Smith, BCABA
• Susan Snyders, MA
• SRZ Op Ballwin LLC

• All providers in Wildwood, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.