Kyla Smith Duchin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3292ATI Issued in OR

Practice address

15 Challenger Dr
Lewiston, ME 04240-1041

Phone

(207) 623-8411

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kyla Meghann Smith Former name

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1700035599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHALLENGER DR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401041",
            "telephone_number": "207-623-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHALLENGER DR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401041",
            "telephone_number": "207-623-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHIN",
        "first_name": "KYLA",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3292ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "SMITH",
            "middle_name": "MEGHANN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana L Drown, PA-C
• Charles Benjamin Drucker, MD
• Denise Dube-Stevenson, CRNA
• Meagan Dube
• Raymond Fernard Duchette, LCSW
• Jeremy B Duda, M.D.
• Jamie Dufour, PA
• Victor Dumais, LCPC, LADC, CCS
• Jeannine Arlene Dumas, LADC
• Karin Dumas, COTA/L

• Optometrist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.