Individual provider Active NPI

Kyle Keyser, OD

  • Optometrist
  • Littleton, NH
National Provider Identifier
1538714035
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
998 Issued in NH
Practice address
104 Meadow St
Littleton, NH 03561-4026
Phone
(603) 444-2592
Fax
(603) 444-6250
NPI assigned
Aug 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 998 NH Primary

Addresses

Primary practice location

104 Meadow St
Littleton, NH 03561-4026

Mailing address

104 Meadow St
Littleton, NH 03561-4026
Phone (603) 444-2592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210524001957 NY Practitioner - Optometry 6608104104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Optical IncGroup PAC ID 9032524574, 3 clinicians

Practice addresses (Care Compare)

4 Springville Rd
Suite a
Hampton Bays, NY 11946-2290
Phone (631) 728-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
998NHMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Optical Inc CurrentSince Apr 1, 2021 Accepting new patients
William S Holmes, OD Optometrist PastSince Aug 2, 2019 Accepting new patients

Locations

4 Springville Rd
Ste A
Hampton Bays, NY 11946
Phone (631) 728-3132

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1538714035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614026",
            "telephone_number": "603-444-2592",
            "fax_number": "603-444-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614026",
            "telephone_number": "603-444-2592",
            "fax_number": "603-444-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "KYLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.