Individual provider Active NPI

Kyle Capel, O.D.

  • Optometrist
  • Blue Bell, PA
National Provider Identifier
1841670650
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003030 Issued in PA
Practice address
921 Penllyn Blue Bell Pike
Blue Bell, PA 19422-2163
Phone
(156) 282-0202
Fax
(215) 628-3131
NPI assigned
Jun 5, 2015
Reactivated
Sep 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X OEG003030 PA
Pediatric Optometrist 152WP0200X OEG003030 PA
Optometrist 152W00000X OEG003030 PA Primary

Addresses

Primary practice location

921 Penllyn Blue Bell Pike
Blue Bell, PA 19422-2163

Mailing address

921 Penllyn Blue Bell Pike
Blue Bell, PA 19422-2163
Phone (215) 628-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151207000472 PA Practitioner - Optometry 3678873155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provision Eye AssociatesGroup PAC ID 8325303522, 2 clinicians

Practice addresses (Care Compare)

653 Skippack Pike
Suite 132
Blue Bell, PA 19422-1738
Phone (215) 628-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003030PAMDPediatric Optometrist

Organizations & group practices 1

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1841670650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PENLLYN BLUE BELL PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222163",
            "telephone_number": "215-628-2020",
            "fax_number": "215-628-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PENLLYN BLUE BELL PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222163",
            "telephone_number": "156-282-0202",
            "fax_number": "215-628-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEL",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-05-02",
        "deactivation_date": "2018-08-23",
        "reactivation_date": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG003030",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG003030",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.