Kyle Palmer

Primary specialty

OptometristTaxonomy code 152W00000X

License

3659ATI Issued in OR

Practice address

15480 Boones Ferry Rd
Lake Oswego, OR 97035-3429

Phone

(503) 635-1458

NPI assigned

Jun 13, 2016

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 OR

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

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Palmer Eye Care, LLC

  • Optometrist
  • Lake Oswego, OR
  • NPI 1184323255
  Medicare reassignment NPD Authorized official
• Scott L. Nehring, O.D., P.C.

  dba Woodburn Vision Source

  • Optometrist
  • Woodburn, OR
  • NPI 1326023821
  Medicare reassignment NPD
• Lake Oswego Vision Clinic LLC

  dba Lake Oswego Vision Clinic

  • Optometrist
  • Lake Oswego, OR
  • NPI 1750506937
  Medicare reassignment

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1588014344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353429",
            "telephone_number": "503-635-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3659ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Free Wellness LLC
• David Alfonso Palacios, N.D.
• Stephanie Paley, LMT
• Palmer Eye Care, LLC
• Donald Palmer, M.D.
• R Scott Palmer, PH.D.
• Yuzhuo Pan
• Alvan W Pang, M.D.
• Paragon Health Services LLC (Jonathan Reynolds Lloyd Sole MBR)
• Stephanie Pinder Paris, LMT

• Optometrist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.