Individual provider Active NPI

Kylee Kay Kleppinger, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1598052896
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6050/T2965 Issued in OH
Practice address
3723 King Rd Ste 100
Toledo, OH 43617-1402
Phone
(419) 843-2020
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6050/T2965 OH Primary

Addresses

Primary practice location

3723 King Rd Ste 100
Toledo, OH 43617-1402

Mailing address

3723 King Rd Ste 100
Toledo, OH 43617-1402
Phone (419) 843-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150102000949 OH Practitioner - Optometry 1759538861 Reassigns benefits to 1 organization
I20150501001573 MI Practitioner - Optometry 1759538861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kruszewski Optometry PLLCGroup PAC ID 0941422729, 2 clinicians
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

1218 S Telegraph Rd
Monroe, MI 48161-5516
Phone (734) 243-0370

3723 King Rd
Suite 100
Toledo, OH 43617-1402
Phone (419) 843-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1093WVMDProfessional Counselor
6050/T2965OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Jun 4, 2021 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jun 4, 2021 Accepting new patients
Kruszewski Optometry, PLLC Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Kelli McCartney O.D. PC Optometrist Past Accepting new patients

Locations

15175 S Dixie Hwy
Monroe, MI 48161
Phone (734) 243-0370

1218 S Telegraph Rd
Monroe, MI 48161
Phone (734) 243-0370

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

3723 King Rd
Ste 100
Toledo, OH 43617
Phone (419) 843-2020

Interoperability endpoints

  • Direct secure messaging: kyleek@pinnacleeyegroup.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1598052896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 KING RD STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171402",
            "telephone_number": "419-843-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 KING RD STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171402",
            "telephone_number": "419-843-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPINGER",
        "first_name": "KYLEE",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6050/T2965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.