DR. KYLE PAUL ANDERSON (NPI# 1568821353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568821353 |
| Entity Type | Individual |
| Full Name | DR. KYLE PAUL ANDERSON |
| Credential | O.D. |
| Practice Address |
11335 Ssg Sims St Fort Bliss TX 79918 |
| Practice Telephone | 9157421318 |
| Mailing Telephone | 9157421318 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 081414 | IA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523792 | Kyle Charles Anderson | Physical Therapist | 15 S 1000 E Ste 25, Payson, UT 84651-5595 | 2014-02-13 |
| 1326383100 | Kyle C Anderson | Nurse Anesthetist, Certified Registered | 22 Bridge St Ste 9, Concord, NH 03301-4987 | 2012-12-04 |
| 1720221617 | Kyle Anderson | Dermatology | 11301 Nall Ave Fl 2, Bmo Harris Bank Bldg., Leawood, KS 66211-1672 | 2009-04-08 |
| 1952383176 | Kyle Anderson | Orthopaedic Surgery | 32270 Telegraph Rd Ste 220b, Bingham Farms, MI 48025-2456 | 2005-11-15 |
| 1770576332 | Kyle R. Anderson | Internal Medicine | 730 Malabar Rd, Malabar, FL 32950-3140 | 2005-08-29 |
| 1447870571 | Kyle Anderson | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-04-18 |
| 1992333215 | Kyle John Anderson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-31 |
| 1417580945 | Kyle Anderson | Pharmacist | 812 S 1st Ave, Iowa City, IA 52245-5208 | 2020-02-12 |
| 1912540980 | Kyle Edward Anderson | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-10-23 |
| 1982170676 | Kyle Christian Anderson | Nurse Practitioner | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2018-10-19 |
| Street Address |
11335 SSG SIMS ST |
| City | FORT BLISS |
| State | TX |
| Zip Code | 79918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760736904 | Jennifer E Zuccarelli | Family Medicine | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2012-11-08 |
| 1073114435 | Jorge Augusto Delgadillo | Social Worker | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2020-11-03 |
| 1710586862 | Natalie Beale | Physical Therapist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2020-10-20 |
| 1932715562 | Yuming Li | Optometrist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2020-09-18 |
| 1952863250 | Kyle Andrew Busby | Military Health Care Provider | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2019-04-04 |
| 1174005243 | Nathan D Dederman | Optometrist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2018-09-05 |
| 1982105508 | Armando Zavala | Physician Assistant | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2018-02-28 |
| 1649787359 | Kelly K Barr | Physical Therapist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2018-01-03 |
| 1295117836 | John Daniel Heathcote | Internal Medicine | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2015-06-19 |
| 1003215062 | Sean Michael Sylvia | Physician Assistant | 11335 Ssg Sims St, Mendoza Soldier and Family Care Center, Fort Bliss, TX 79916 | 2014-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951261 | Brian Jun Hwangpo | Dentist | 21227 Torch St, Biggs Field, TX 79918 | 2019-09-18 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1598245755 | Jessica Tan | Physical Therapist | 11335 Ssg Sims St., El Paso, TX 79918 | 2018-08-17 |
| 1447798749 | Richard Emil Stanford Jr. | Physical Therapist | 11335 Ssg Sims, Ft Bliss, TX 79918 | 2017-02-07 |
| 1952601254 | Sharon Anne Gutierrez | Nurse Practitioner | Bldg. 11335 Ssg Sims St., Biggs Af, Ft Bliss, TX 79918 | 2010-11-02 |
| 1972737245 | Fawn Ison | Military Health Care Provider | 11319 Ssg Sims St, Fort Bliss, TX 79918 | 2009-05-14 |
| 1447434782 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Biggs Army Airfield, Bldg 11281, Ft Bliss, TX 79918 | 2007-12-21 |
| 1063026136 | Matthew John Schloesser | Military Health Care Provider | 11335 Ssg Sims Street, Fort Bliss, TX 79918 | 2020-09-04 |
| 1952881112 | Benjamin Campbell | Physical Therapist | 11335 Ssg Sims St., Fort Bliss, TX 79918 | 2018-08-17 |
| 1427543867 | Samantha Anne Good | Military Health Care Provider | 11335 Ssg Sims Street, Fort Bliss, TX 79918 | 2018-06-27 |
| Find all providers in zip 79918 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912176223 | Progreso Eyecare | Optometrist | Bldg. 1611 Marshall Road, Main Px Mall, Fort Bliss, TX 79906 | 2008-02-21 |
| 1932715562 | Yuming Li | Optometrist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2020-09-18 |
| 1174005243 | Nathan D Dederman | Optometrist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1750981684 | Joel George | Optometrist | 6418 Eckhert Rd Apt 4206, San Antonio, TX 78240-3142 | 2020-10-29 |
| 1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
| 1295334001 | Eye Room Pllc | Optometrist | 17659 Fishtrap Road, Ste 30, Prosper, TX 75078-7507 | 2020-10-22 |
| 1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
| 1922607902 | Glimpse Eye Care | Optometrist | 26435 Kuykendahl Rd Ste 800, Tomball, TX 77375-1855 | 2020-10-21 |
| 1831798016 | Birds Eye View Optometry - League City Pllc | Optometrist | 1355 E League City Pkwy Ste 200, League City, TX 77573-7095 | 2020-10-20 |
| 1720687056 | Judy Hoang | Optometrist | 8910 Bandera Rd Ste 105, San Antonio, TX 78250-3227 | 2020-10-19 |
| 1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT BLISS |
| Zip Code | 79918 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.