Kyle Morgan Gillespie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60178254 Issued in WA

Practice address

701 2ND Ave SE
Quincy, WA 98848-1531

Phone

(509) 787-1581

NPI assigned

Jul 2, 2008

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, WA2 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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyle M Gillespie O D LTD

  dba Gillespie Eye Care

  • Optometrist
  • Quincy, WA
  • NPI 1962728295

  UT

  Medicare reassignment NPD Authorized official
• Gillespie Eye Care PC

  • Clinic/Center
  • Brewster, WA
  • NPI 1124494620
  Authorized official Same address or phone
• Kyle M. Gillespie, O.D., LTD.

  dba Gillespie Eye Care

  • Optometrist
  • Grand Coulee, WA
  • NPI 1255770020
  Authorized official Same address or phone
• Kyle M. Gillespie, O.D., LTD.

  dba Gillespie Eye Care

  • Optometrist
  • Brewster, WA
  • NPI 1477991263
  NPD (past) Authorized official
• DW Family Eye Care PLLC

  dba Valley View

  • Optometrist
  • Brewster, WA
  • NPI 1497415087
  NPD

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1649433459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 2ND AVE SE",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481531",
            "telephone_number": "509-787-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 2ND AVE SE",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481531",
            "telephone_number": "509-787-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 W 4100 N",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846046212",
            "country_code": "US",
            "telephone_number": "801-709-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "KYLE",
        "middle_name": "MORGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "657",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B76-TA-792",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7240166-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60178254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime David Dominguez-Cespedes, MD
• Pamela Jean Duggan, MSW, LMHC
• Rebekah Marie Garfield, ARNP
• Irene Garza, MS
• Rachel Erin Gaspard, FNP-BC
• Hannah Marie Gonzalez, BA
• Beryl M Goto
• Grant County Hospital District No. 2 (Quincy Valley Medical Center)
• Grant County Hospital District No. 2 (Quincy Valley Medical Center)
• Grant County Public Hospital District #2

• Optometrist in Quincy, WA
• Providers in Quincy, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.