Active NPI
Kyle G Lindberg, OD
- Optometrist
- Mishawaka, IN
National Provider Identifier
1538917596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005806
- Practice address
- 541 Calhoun St
Mishawaka, IN 46545-6027 - Phone
- (616) 610-6090
- NPI assigned
- May 7, 2024
- Last updated
- Mar 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005806 | MI | Primary |
| Optometrist | 152W00000X | 18004618A | IN |
Addresses
Primary practice location
541 Calhoun St
Mishawaka, IN 46545-6027
Mailing address
541 Calhoun St
Mishawaka, IN 46545-6027
Phone (616) 610-6090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2746 Old US 20
Suite B
Elkhart, IN 46514-1365
Phone (574) 293-3545
2746 Old US 20 W C
Elkhart, IN 46514-1365
Phone (574) 293-8366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005806 | MI | MD | Optometrist |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Elkhart, IN
- NPI 1003851445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1538917596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 CALHOUN ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465456027",
"telephone_number": "616-610-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 CALHOUN ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465456027",
"telephone_number": "616-610-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "KYLE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-07",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005806",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004618A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.