Active NPI
Kyle John McCashen, O.D.
- Vision Therapy Optometrist
- Bryan, OH
National Provider Identifier
1720068778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 4477 T1133
- Practice address
- 1525 W High St
Bryan, OH 43506-1593 - Phone
- (419) 636-6723
- Fax
- (419) 636-1704
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4477 T1133 | OH | |
| Corneal and Contact Management Optometrist | 152WC0802X | 4477 T1133 | OH | |
| Pediatric Optometrist | 152WP0200X | 4477 T1133 | OH | |
| Sports Vision Optometrist | 152WS0006X | 4477 T1133 | OH | |
| Vision Therapy Optometrist | 152WV0400X | 4477 T1133 | OH | Primary |
| Occupational Vision Optometrist | 152WX0102X | 4477 T1133 | OH |
Addresses
Primary practice location
1525 W High St
Bryan, OH 43506-1593
Mailing address
1525 W High St
Bryan, OH 43506-1593
Phone (419) 636-6723
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0199173 | Medicaid | OH | |
| 03211 | Other | OH | PARAMOUNT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1525 W High St
Bryan, OH 43506-2599
Phone (419) 636-6723
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4477 T1133 | OH | MD | Pediatric Optometrist |
| 4477 T1133 | OH | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Eye Center PC | Optometrist | Current | Accepting new patients |
| Fountain City Chiropractic & Rehabilitation, Inc | Past | Accepting new patients |
Locations
1525 W High St
Bryan, OH 43506
Phone (419) 633-0550
Interoperability endpoints
- kylemccashen@direct.revolutionehr.com
Organizations & group practices 2
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.
-
- Optometrist
- Bryan, OH
- NPI 1396933511
-
- Chiropractor
- Bryan, OH
- NPI 1225519762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720068778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061593",
"telephone_number": "419-636-6723",
"fax_number": "419-636-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061593",
"telephone_number": "419-636-6723",
"fax_number": "419-636-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASHEN",
"first_name": "KYLE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4477 T1133",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "4477 T1133",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OH",
"license": "4477 T1133",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OH",
"license": "4477 T1133",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OH",
"license": "4477 T1133",
"primary": true
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OH",
"license": "4477 T1133",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0199173",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03211",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.