Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLEE GODDARD OD
NPI 1255916052
Optometrist in Springfield, MO

Q: What is Kylee Goddard's NPI number?

The NPI number for Kylee Goddard is 1255916052. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Q: What is Kylee Goddard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kylee Goddard was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since March 12, 2021PECOS Enrolled

2825 S GLENSTONE AVE STE 113, SPRINGFIELD, MO 65804(417) 887-6883(417) 887-6884 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, Mar 12, 2021 (2 updates tracked since 2021).

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About Kylee Goddard Od NPPES

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

KYLEE GODDARD OD (NPI 1255916052) is an individual optometrist in Springfield, Missouri, licensed in Missouri (T03116) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255916052

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKYLEE GODDARDCredential: OD

Location Address2825 S GLENSTONE AVE STE 113Springfield, MO 65804-3728

Mailing Address2825 S Glenstone Ave Ste 113Springfield, MO 65804-3728 · (417) 887-6883 · Fax (417) 887-6884

Phone(417) 887-6883

Fax(417) 887-6884

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 12, 2021

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1255916052 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 MO · T03116

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.

2825 S GLENSTONE AVE STE 113, Springfield, MO 65804

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylee Goddard Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618371303

PECOS Enrollment IDI20210803000428

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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 Kylee Goddard's NPI number?

The NPI number for Kylee Goddard is 1255916052. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Kylee Goddard located?

Kylee Goddard practices at 2825 S Glenstone Ave Ste 113, Springfield, MO 65804. The listed phone number is (417) 887-6883.

What is Kylee Goddard's specialty?

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

Is Kylee Goddard enrolled in Medicare?

Yes. Kylee Goddard is registered in the Medicare PECOS enrollment system.

What insurance does Kylee Goddard accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kylee Goddard 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 Kylee Goddard was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.