Divine Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2010020558 Issued in MO

Legal business name

DIVINE FAMILY EYE CARE, LLC

Practice address

1475 N Westwood Blvd
Poplar Bluff, MO 63901-3315

Phone

(573) 712-2333

Fax

(573) 712-2433

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Kylie Marie DivineNPI 1558672162

Title

Provider

Phone

(573) 712-2333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kylie Marie Divine, O.D

  • Optometrist
  • Poplar Bluff, MO
  • NPI 1558672162
  Medicare reassignment NPD Authorized official
• Abigail Pierce, OD

  • Optometrist
  • Poplar Bluff, MO
  • NPI 1306772983
  NPD

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1871859918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013315",
            "telephone_number": "573-712-2333",
            "fax_number": "573-712-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013315",
            "telephone_number": "573-712-2333",
            "fax_number": "573-712-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "DIVINE",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "573-712-2333"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2010020558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Dever, M.D.
• Sonya D Diciro, F.N.P.
• Tiffany Heather Dickmann
• Anthony Disalvo III, DMD
• Amy L Ditto
• Kylie Marie Divine, O.D
• Russell Louis Dixon, PSY.D.
• DO Not Use
• Kayla Brittney Dobbs, NP
• Stephane Rena Dobbs, FNP

• Optometrist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.