DR. KYLE DOUGLAS WILSON OD
NPI 1508207309
Optometrist in Farmington, CT

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
61 WESTFARMS MALL, D111, FARMINGTON, CT 06032(801) 473-9002 Get Directions Write a Review

NPPES record last updated: July 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kyle Douglas Wilson Od NPPES

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

DR. KYLE DOUGLAS WILSON OD (NPI 1508207309) is an individual optometrist in Farmington, Connecticut, licensed in Colorado (3124) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2013).

NPPES Registry Identity

NPI1508207309
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KYLE DOUGLAS WILSONCredential: OD
Location Address61 WESTFARMS MALL, D111Farmington, CT 06032-2631
Mailing Address158 Inverness Dr W, A309Englewood, CO 80112-5026 · (801) 473-9002
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateJuly 24, 2016
NPI 1508207309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CO · 3124 Licensed in UT · 8674334-9934 Licensed in CT · 2897
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.
61 WESTFARMS MALL, Farmington, CT 06032

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Douglas Wilson Od 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 ID5597997908
PECOS Enrollment IDI20191002002618
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.

Areas of Expertise CMS Part B claims 2

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
19 services18 patients
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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06032 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 3

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

Technician/Technologist (Optician)
61 WESTFARMS MALL
FARMINGTON, CT 06032
Optometrist
61 WESTFARMS MALL, D111
FARMINGTON, CT 06032
Optometrist
61 WESTFARMS MALL
FARMINGTON, CT 06032

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 Wilson's NPI number?

The NPI number for Kyle Wilson is 1508207309. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Kyle Wilson located?

Kyle Wilson practices at 61 Westfarms Mall D111, Farmington, CT 06032. The listed phone number is (801) 473-9002.

What is Kyle Wilson's specialty?

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

Is Kyle Wilson enrolled in Medicare?

Yes. Kyle Wilson 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.

What insurance does Kyle Wilson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Kyle Wilson 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 Wilson was last updated on July 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.