Individual provider Active NPI

Kyle Eaton, O.D.

  • Optometrist
  • Burgaw, NC
National Provider Identifier
1881755866
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025 Issued in NC
Practice address
106 East Satchwell St
Burgaw, NC 28425-5064
Phone
(910) 259-5661
NPI assigned
Dec 13, 2006
Last updated
Sep 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2025 NC Primary

Addresses

Primary practice location

106 East Satchwell St
Burgaw, NC 28425-5064

Mailing address

PO Box 787
Burgaw, NC 28425-0787
Phone (910) 259-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070227000801 NC Practitioner - Optometry 1658473277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 E Satchwell St
Burgaw, NC 28425-5064
Phone (910) 259-5661

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as individual
Quality
65.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burgaw Eye Center, O.D., P.a. Optometrist CurrentSince Feb 1, 2010 Accepting new patients
Steve M. Shelton O.D. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kyle.eaton@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1881755866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284250787",
            "telephone_number": "910-259-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 EAST SATCHWELL ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255064",
            "telephone_number": "910-259-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

Verify at the official NPI Registry.