Kyle D Ross, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3226-035 Issued in WI

Practice address

N54W6135 Mill St
Suite 700
Cedarburg, WI 53012-2021

Phone

(262) 421-4412

Fax

(262) 421-4413

NPI assigned

Jul 21, 2011

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Eye Health and Wellness, SCGroup PAC ID 1951534163, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.54 of 100Reported as group

Quality

91.08

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Eye Health and Wellness, SC

  dba North Shore Eye Health and Wellness

  • Optometrist
  • Cedarburg, WI
  • NPI 1629494703
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1972881134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N54W6135 MILL ST",
            "address_2": "SUITE 700",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122021",
            "telephone_number": "262-421-4412",
            "fax_number": "262-421-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N54W6135 MILL ST",
            "address_2": "SUITE 700",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122021",
            "telephone_number": "262-421-4412",
            "fax_number": "262-421-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KYLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3226-035",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabethann Robinson
• Rachel J Roesler, NP-C
• Elizabeth Rolland
• Neal Rosenberg III, D.D.S
• Diane Rosner, M.D.
• Jason Rudroff, P.T.
• Heidi M Rupnow, LPC
• Mollie Mae Wittlin Salisz, PA-C
• Salvador V. del Rosario,M.D., S.C.
• SBR Therapy and Wellness, LLC

• Optometrist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.