KYLE A. BRODIE, O.D., INC. (NPI# 1679759229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679759229 |
| Entity Type | Organization |
| Organization Name | KYLE A. BRODIE, O.D., INC. |
| Practice Address |
840 W. Boundary Street, Suite 1 Perrysburg OH 43551 |
| Practice Telephone | 4199312020 |
| Practice Fax Number | 4198731445 |
| Mailing Telephone | 4199312020 |
| Mailing Fax Number | 4198731445 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | DR. KYLE A. BRODIE (OWNER) |
| Authorized Official Telephone | 4199312020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2049232 | 05 |
| Street Address |
840 W. BOUNDARY STREET, SUITE 1 |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| 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 |
|---|---|---|---|---|
| 1467092858 | Myeyedr Optometry of Ohio, LLC | Optometrist | 840 W Boundary St, Perrysburg, OH 43551-1702 | 2020-01-14 |
| 1831626050 | Abdul Hafiz Araji | Optometrist | 26470 Carrington Blvd, Perrysburg, OH 43551-9114 | 2017-05-18 |
| 1225341233 | Jay Remington Meents | Optometrist | 28370 Kensington Ln Ste A, Perrysburg, OH 43551-4163 | 2010-07-19 |
| 1972732980 | Nahrain M Shasteen | Optometrist | 5150 Chappel Dr, Perrysburg, OH 43551 | 2009-07-11 |
| 1700015815 | Christy Northcutt | Optometrist | 4306 Moser Lane, Perrysburg, OH 43551-7187 | 2009-07-09 |
| 1528218542 | J. Scott Stewart, O.d. | Optometrist | 122 W Front St, Suite F, Perrysburg, OH 43551-1467 | 2008-09-26 |
| 1619160389 | Rudey Opticians, Ltd | Optometrist | 152 West South Boundary, Perrysburg, OH 43551 | 2007-08-24 |
| 1962580217 | Kyle A Brodie | Optometrist | 955 Commerce Dr, Suite 4, Perrysburg, OH 43551-5261 | 2006-11-02 |
| 1689620015 | Mobile Medical Inc | Optometrist | 740 Commerce Dr Ste A, Perrysburg, OH 43551-5276 | 2006-05-26 |
| 1811966179 | John T Lovas | Optometrist | 910 Mill Rd, Perrysburg, OH 43551-3111 | 2006-03-17 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
Please comment or provide details below to improve the information on KYLE A. BRODIE, O.D., INC..
| 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.