David Ala Kyle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003683 Issued in MI

Practice address

1055 W Baraga Ave
Marquette, MI 49855-4068

Phone

(906) 228-8808

Fax

(906) 228-9022

NPI assigned

Jan 10, 2007

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

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 and National Provider Directory roles.

• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596

  MI, Optometrist

  Medicare reassignment NPD
• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023

  MI, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Jenison, MI
  • NPI 1134887441
  NPD
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD
• SVS Vision Inc

  • Optometrist
  • Mount Pleasant, MI
  • NPI 1558246942
  NPD
• SVS Vision Inc

  • Optometrist
  • Sterling Heights, MI
  • NPI 1750416731
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1720137284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W BARAGA AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554068",
            "telephone_number": "906-228-8808",
            "fax_number": "906-228-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1281 M 89",
            "address_purpose": "LOCATION",
            "city": "Plainwell",
            "state": "MI",
            "postal_code": "490801919",
            "country_code": "US",
            "telephone_number": "269-685-1071",
            "fax_number": "269-685-1074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "DAVID",
        "middle_name": "ALA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901003683",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MI",
            "license": "4901003683",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MI",
            "license": "4901003683",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "95OE265210",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-3319568",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EINNUMBER",
            "identifier": "383326048",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "MO34439",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn S Kurtz, LMSW
• Ledger Berend Kurtz
• John E Kus, CRNA
• Chelsea Rae Kuzmak Aho, LMSW
• Ava Kyer
• Mary Elizabeth Labelle, B.S. PHARM, RPH.
• Timothy John Labonte, MD
• Cynthia K Lack, MD
• Anthony N Lackey, P.A.
• Branimir A. Lackovic, DDS

• All providers in Marquette, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.