Individual provider Active NPI

Kyle D Mayginnes, O.D.

  • Optometrist
  • Marysville, OH
National Provider Identifier
1700867652
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007031 Issued in OH
Practice address
459 Colemans Crossing Blvd
Marysville, OH 43040-7068
Phone
(937) 553-6287
Fax
(937) 707-6933
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008206 IL
Optometrist 152W00000X OPT.007031 OH Primary

Addresses

Primary practice location

459 Colemans Crossing Blvd
Marysville, OH 43040-7068

Mailing address

226 Fairhavens
Marysville, OH 43040-3532
Phone (309) 645-2229

Other identifiers 1

IdentifierTypeStateIssuer
046008206MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230111002383 OH Practitioner - Optometry 3072577634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008206ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
National Vision Inc Optometrist CurrentSince Jul 13, 2025 Accepting new patients
Vep Il Optometric LLC Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
Central Illinois Family Eyecare LLC Optometrist Past Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Mar 1, 2025 Accepting new patients
Dennis M Brtva Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

1595 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 385-0088

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

1150 Polaris Pkwy
Columbus, OH 43240
Phone (614) 433-7357

4975 Tuttle Crossing Blvd
Dublin, OH 43016

5043 Tuttle Crossing Blvd
Ste 238
Dublin, OH 43016
Phone (614) 766-6638

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

316 S Hamilton Rd
Gahanna, OH 43230

1584 Stringtown Rd
Grove City, OH 43123
Phone (614) 871-4016

459 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 553-6287

29994 Detroit Rd
Westlake, OH 44145
Phone (440) 734-1030

Organizations & group practices 8

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1700867652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FAIRHAVENS",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430403532",
            "telephone_number": "309-645-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 COLEMANS CROSSING BLVD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407068",
            "telephone_number": "937-553-6287",
            "fax_number": "937-707-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYGINNES",
        "first_name": "KYLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008206",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.