Individual provider Active NPI

Kyle W Rippel, O.D.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1932385986
Registry record updated Jan 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
2879 W 95TH St
Suite 179
Naperville, IL 60564-9007
Phone
(630) 922-8000
Fax
(630) 922-7754
NPI assigned
Jan 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

2879 W 95TH St
Suite 179
Naperville, IL 60564-9007

Mailing address

2879 W 95TH St
Suite 179
Naperville, IL 60564-9007
Phone (630) 922-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20091106000260 IL Practitioner - Optometry 4486792702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Young Eye Optometry PLLCGroup PAC ID 0446765507, 2 clinicians

Practice addresses (Care Compare)

2272 95TH St
Suite 105
Naperville, IL 60564-8944
Phone (630) 922-8000

2272 W 95TH St
Suite 105
Naperville, IL 60564-8944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Family Vision Inc Optometrist CurrentSince May 11, 2002 Accepting new patients
Young Eye Optometry PLLC Optometrist CurrentSince Jun 9, 2025 Accepting new patients

Locations

2879 95th St
Ste 179
Naperville, IL 60564
Phone (630) 305-0735

2272 95th St
Ste 105
Naperville, IL 60564
Phone (630) 922-8000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200787200000",
    "number": "1932385986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 W 95TH ST",
            "address_2": "SUITE 179",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649007",
            "telephone_number": "630-922-8000",
            "fax_number": "630-922-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 W 95TH ST",
            "address_2": "SUITE 179",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649007",
            "telephone_number": "630-922-8000",
            "fax_number": "630-922-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPEL",
        "first_name": "KYLE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-20",
        "last_updated": "2008-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.