Kyle Steven Sexton, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OD00003991 Issued in WA

Practice address

3500 S Meridian
Space 945
Puyallup, WA 98373-3779

Phone

(253) 864-9353

Fax

(253) 864-9355

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kyle Sexton, O.D., LLCGroup PAC ID 1951470913, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Kyle Sexton, O.D., LLC

  • Optometrist
  • Puyallup, WA
  • NPI 1972778009
  Medicare reassignment Care Compare group NPD Authorized official
• Luxottica of America Inc.

  • Eyewear Supplier
  • Puyallup, WA
  • NPI 1144375031
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1922108950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65713",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984641713",
            "telephone_number": "253-864-9353",
            "fax_number": "253-864-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S MERIDIAN",
            "address_2": "SPACE 945",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733779",
            "telephone_number": "253-864-9353",
            "fax_number": "253-864-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "KYLE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD00003991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031151",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP IDENTIFICATION NUMBER",
            "identifier": "406494055",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Marie Sessoms, M.D.,M.PH.
• Alexandra Christine Setchfield
• Mitzi Seto
• Seung Yong Song DDS PLLC
• Sanette Severance, BPHARM
• Yvonne Y Seyler
• Shelia A Seymore, LMP
• Chengcheng Sha, DMD
• Cathryn Elizabeth Shaffer, MSOT
• Amol Jagdish Shah, M.D.

• Corneal and Contact Management Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.