Kyle E Brost, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02741 Issued in MO

Practice address

352 S Broadview St
Cape Girardeau, MO 63703

Phone

(573) 334-8595

Fax

(573) 334-4143

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri St Louis - School of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory S. Leet, O.D., P.C.Group PAC ID 5496857443, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• Gregory S. Leet, O.D., P.C.

  • Optometrist
  • Cape Girardeau, MO
  • NPI 1881734804
  Medicare reassignment Care Compare group NPD
• Nto Denton, PLLC

  • Optometrist
  • Denton, TX
  • NPI 1750731253
  NPD (past)
• Tennessee Vision Partners PLLC

  • Optometrist
  • Jackson, TN
  • NPI 1902317381
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1619027703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035703",
            "telephone_number": "573-334-8595",
            "fax_number": "573-334-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-334-8595",
            "fax_number": "573-334-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROST",
        "first_name": "KYLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T02741",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T02741",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "T02741",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MO",
            "license": "T02741",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312628134",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "105650",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broadway Specialty, LLC
• Amy Brookover, DPT
• Stephen Douglas Brooks, CRNA
• Whitney R Brooks, NNP
• Brost & Associates Family Eye Care PC
• Gussie D Brotherton III, DO
• Beverly L Brown, MD
• Bradley S. Brown, PTA
• Craig M Brown, MPT, CSCS, CEAS
• Jena Jolene Brown, C.N.S.

• Optometrist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.