Individual provider Active NPI

Kyle Nieland, OD

  • Optometrist
  • Appleton, WI
National Provider Identifier
1922839828
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4025-35 Issued in WI
Practice address
2600 W College Ave Ste 1
Appleton, WI 54914-4200
Phone
(920) 735-9914
Fax
(920) 630-6578
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4025-35 WI Primary

Addresses

Primary practice location

2600 W College Ave Ste 1
Appleton, WI 54914-4200

Mailing address

2600 W College Ave Ste 1
Appleton, WI 54914-4200
Phone (920) 735-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20241016001280 WI Practitioner - Optometry 2860924800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye AssociatesGroup PAC ID 5395633580, 25 clinicians
Stellar Eye Care SCGroup PAC ID 6608124508, 3 clinicians

Practice addresses (Care Compare)

1301 E Northland Ave
Suite a
Appleton, WI 54911-8582
Phone (920) 734-8714

2600 W College Ave
Suite 1
Appleton, WI 54914-4200
Phone (920) 735-9914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4025WIMDMarriage & Family Therapist
4025-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Eye Care SC Optometrist CurrentSince Jan 25, 2026 Accepting new patients
Valley Eye Associates Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Park Place Optical, LTD Past Accepting new patients

Locations

21 Park Pl
Appleton, WI 54914
Phone (920) 739-4361

2500 E Capitol Dr
Ste 3500
Appleton, WI 54911
Phone (920) 358-1820

2600 W College Ave
Ste 1
Appleton, WI 54914
Phone (920) 735-9580

1301 E Northland Ave
Ste A
Appleton, WI 54911
Phone (920) 734-8714

Organizations & group practices 3

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1922839828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W COLLEGE AVE STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144200",
            "telephone_number": "920-735-9914",
            "fax_number": "920-830-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W COLLEGE AVE STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144200",
            "telephone_number": "920-735-9914",
            "fax_number": "920-630-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELAND",
        "first_name": "KYLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4025-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.