Individual provider Active NPI

Kyle John McCashen, O.D.

  • Vision Therapy Optometrist
  • Bryan, OH
National Provider Identifier
1720068778
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
4477 T1133 Issued in OH
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0199173MedicaidOH
03211OtherOHPARAMOUNT

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
I20101209000942 OH Practitioner - Optometry 9537275995 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4477 T1133OHMDPediatric Optometrist
4477 T1133OHMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Eye Center PC Optometrist CurrentSince Feb 1, 1995 Accepting new patients
Fountain City Chiropractic & Rehabilitation, Inc PastSince Feb 1, 1995 Accepting new patients

Locations

1525 W High St
Bryan, OH 43506
Phone (419) 633-0550

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.