1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Optometrist
  6. NPI Profile

DR. KYLE J KLIKA O.D.
NPI 1205090990
Optometrist in Green Bay, WI

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
700 PILGRIM WAY, GREEN BAY, WI 54304(920) 733-3846(920) 733-3964 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kyle J Klika O.d. NPPES

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

DR. KYLE J KLIKA O.D. (NPI 1205090990) is an individual optometrist in Green Bay, Wisconsin, licensed in Wisconsin (3111) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2008).

NPPES Registry Identity

NPI1205090990
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KYLE J KLIKACredential: O.D.
Location Address700 PILGRIM WAYGreen Bay, WI 54304-5263
Mailing AddressW3208 Van Roy Rd.Appleton, WI 54915 · (920) 733-3846 · Fax (920) 733-3964
Phone(920) 733-3846
Fax(920) 733-3964
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2008
Enumeration DateJuly 11, 2008
✔ NPI 1205090990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3111
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.
700 PILGRIM WAY, Green Bay, WI 54304
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle J Klika O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840366928
PECOS Enrollment IDI20080915000330
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Klika reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoptikal LLC
0.6 mi
Eyewear Supplier
2621 S ONEIDA ST STE 104
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
NPI 1659937159 (920) 499-3511

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPTIKAL LLC
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-7367
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218
SHOPKO PROPERTIES, LLC
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-2211
SHOPKO STORES, INC.
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218
SHOPKO INSTITUTIONAL CARE SERVICES
Pharmacy (Long Term Care Pharmacy)
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218

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 Klika's NPI number?

The NPI number for Kyle Klika is 1205090990. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Kyle Klika located?

Kyle Klika practices at 700 Pilgrim Way, Green Bay, WI 54304. The listed phone number is (920) 733-3846.

What is Kyle Klika's specialty?

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

Is Kyle Klika enrolled in Medicare?

Yes. Kyle Klika is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kyle Klika's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Klika reassigns Medicare benefits to Shoptikal LLC (Green Bay, WI). The 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 Kyle Klika's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Klika accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Kyle Klika 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 Klika was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.