Individual provider Active NPI

Kyle Wesley King, O.D.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1598051948
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003672A Issued in IN
Practice address
213 Main St
Evansville, IN 47708
Phone
(812) 424-4444
Fax
(812) 424-2200
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003672A IN Primary

Addresses

Primary practice location

213 Main St
Evansville, IN 47708

Mailing address

213 Main St
Evansville, IN 47708-1445
Phone (812) 424-4444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001673 IN Practitioner - Optometry 9234307083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Eyecare Associates IncGroup PAC ID 3678621828, 3 clinicians

Practice addresses (Care Compare)

213 Main St
Evansville, IN 47708-1445
Phone 81242444444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003672AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Eyecare Associates, Inc. Optometrist CurrentSince Aug 30, 2011 Accepting new patients

Locations

213 Main St
Evansville, IN 47708
Phone (812) 424-4444

Interoperability endpoints

  • Direct secure messaging: kking@evansvilleeyecare.updoxdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/DF6GDTDH

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1598051948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081445",
            "telephone_number": "812-424-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47708",
            "telephone_number": "812-424-4444",
            "fax_number": "812-424-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KYLE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003672A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.