KYLE D WILSON OD PC
NPI 1194373886
Optometrist in Layton, UT

Q: What is Kyle D Wilson Od PC's NPI number?

The NPI number for Kyle D Wilson Od PC is 1194373886. It was assigned to this organization in the NPPES registry on August 27, 2019.

Q: What is Kyle D Wilson Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 27, 2019

489 W 2275 N STE B, LAYTON, UT 84041(801) 776-2020 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kyle D Wilson Od Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE D WILSON OD PC (NPI 1194373886) is a healthcare organization registered as an optometrist in Layton, Utah and active in the NPI registry since August 2019. The organization lists Kyle Wilson, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1194373886

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKYLE D WILSON OD PC

Location Address489 W 2275 N STE BLayton, UT 84041-7471

Mailing Address489 W 2275 N Ste BLayton, UT 84041-7471

Phone(801) 776-2020

Organization SubpartNo

Authorized OfficialKyle WilsonOwner, President · (801) 473-9002

Enumeration DateAugust 27, 2019

✔ NPI 1194373886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

489 W 2275 N STE B, Layton, UT 84041

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle D Wilson Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kyle D Wilson Od PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Wilson, OD

Optometry

NPI 1508207309

61 WESTFARMS MALL D111
Farmington, CT 06032

(801) 473-9002

✔ PECOS✔ Accepts Medicare2,020 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle D Wilson Od PC's NPI number?

The NPI number for Kyle D Wilson Od PC is 1194373886. It was assigned to this organization in the NPPES registry on August 27, 2019.

Where is Kyle D Wilson Od PC located?

Kyle D Wilson Od PC is located at 489 W 2275 N Ste B, Layton, UT 84041. The listed phone number is (801) 776-2020.

What is Kyle D Wilson Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kyle D Wilson Od PC enrolled in Medicare?

Yes. Kyle D Wilson Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kyle D Wilson Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kyle D Wilson Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kyle D Wilson Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kyle D Wilson Od PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle D Wilson Od PC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.