Kyle Barnes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1711DT Issued in KY

Practice address

334 Highway 92 S
Suite 7
Dandridge, TN 37725-4571

Phone

(865) 397-9991

Fax

(865) 940-1401

NPI assigned

Aug 16, 2007

Last updated

Feb 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

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 2

Specialty

Optometry

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Elite Vision Center LLCGroup PAC ID 8628238995, 2 clinicians

Barnes Vision PLLCGroup PAC ID 3779628607, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.barnes@direct.revolutionehr.com

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.

• Barnes Vision PLLC

  dba Barnes Vision

  • Optometrist
  • Dandridge, TN
  • NPI 1992938104
  Medicare reassignment Care Compare group NPD Authorized official
• Elite Vision Center LLC

  • Optometrist
  • Middlesboro, KY
  • NPI 1295008803
  Medicare reassignment Care Compare group NPD Authorized official
• Barnes Vision of Elizabethton

  • Optometrist
  • Elizabethton, TN
  • NPI 1609176031
  Authorized official Same address or phone
• Southeast Eye Associates, PLLC

  • Optometrist
  • Middlesboro, KY
  • NPI 1104952928
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1982896593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 VISTA VIEW CT",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377256168",
            "telephone_number": "859-475-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 HIGHWAY 92 S",
            "address_2": "SUITE 7",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254571",
            "telephone_number": "865-397-9991",
            "fax_number": "865-940-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KYLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2857",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1711DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100018110",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519327",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Ballinger, OTR
• Christi D Banks, APRN
• Teresa Francine Barker, SLP
• Barnes Vision PLLC (Barnes Vision)
• Kristi Michelle Barnes, O.D.
• Penny Beam, PTA
• Kristin Leann Belcher, FNP-BC
• Mahla Bell
• Isaac Delano Blair, FNP-BC
• Tammy M Blanchard, CPHT

• Optometrist in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.