Kyle J Kenison is a Mountain Home, Idaho based male Optometrist with 31 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kyle J Kenison is MT 587 for Optometry in Montana. Kyle J Kenison examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Kyle J Kenison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
31+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
855 West 6th South, Mountain Home, Idaho, 83647
Phone:
208-587-2020
Fax:
208-587-3349
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9739323791
Enrollment ID:
I20150124000026
NPI Number:
1750370730
NPI Enumeration Date:
21 Oct, 2005
NPI Last Update On:
15 Mar, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kyle J Kenison are as mentioned below.
License Number
Specialization
State
Status
MT 587
Optometry
Montana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kyle J Kenison has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Elmore County Eyecare, Pa. (6103996335)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Kyle J Kenison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1750370730
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
855 West 6th South, Mountain Home, Idaho
Zip:
83647
Phone Number:
208-587-2020
Fax Number:
208-587-3349
Patients can reach Kyle J Kenison at 855 West 6th South, Mountain Home, Idaho or can call to book an appointment on 208-587-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.