DR. KYLE JONATHAN WEAVER OD
NPI 1609141233
Optometrist in Oregon, OH

Q: What is Kyle Weaver's NPI number?

The NPI number for Kyle Weaver is 1609141233. It was assigned to this individual provider in the NPPES registry on March 15, 2012.

Q: What is Kyle Weaver'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 Kyle Weaver was last updated on August 14, 2018. 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.

Active since March 15, 2012PECOS Enrolled

2740 NAVARRE AVE, OREGON, OH 43616(419) 693-4444(419) 697-2149 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kyle Jonathan Weaver Od NPPES

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

DR. KYLE JONATHAN WEAVER OD (NPI 1609141233) is an individual optometrist in Oregon, Ohio, licensed in Indiana (18003711A) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2011).

NPPES Registry Identity

NPI1609141233

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KYLE JONATHAN WEAVERCredential: OD

Location Address2740 NAVARRE AVEOregon, OH 43616

Mailing Address4100 W 3rd StDayton, OH 45428-9000 · (260) 729-2311

Phone(419) 693-4444

Fax(419) 697-2149

Sole ProprietorYes

Medical School CMSIndiana University - School Of OptometryGraduated 2011

Enumeration DateMarch 15, 2012

Last NPPES UpdateAugust 14, 2018

✔ NPI 1609141233 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 IN · 18003711A

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.

2740 NAVARRE AVE, Oregon, OH 43616

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Other Identifiers 1

Medicaid0233917OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Dr. Kyle Jonathan Weaver Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587929286

PECOS Enrollment IDI20221202001434

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

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43616 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 9

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

JODI KESSINGER OD

Optometrist