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DIVINE FAMILY EYE CARE, LLC
NPI 1871859918
Optometrist in Poplar Bluff, MO

Active since April 03, 2012
1475 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 712-2333(573) 712-2433 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Divine Family Eye Care, Llc NPPES

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

DIVINE FAMILY EYE CARE, LLC (NPI 1871859918) is a healthcare organization registered as an optometrist in Poplar Bluff, Missouri and active in the NPI registry since April 2012. The organization lists Kylie Marie Divine, Provider, as its authorized official.

NPPES Registry Identity

NPI1871859918
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDIVINE FAMILY EYE CARE, LLC
Location Address1475 N WESTWOOD BLVDPoplar Bluff, MO 63901-3315
Mailing Address1475 N Westwood BlvdPoplar Bluff, MO 63901-3315 · (573) 712-2333 · Fax (573) 712-2433
Phone(573) 712-2333
Fax(573) 712-2433
Organization SubpartNo
Authorized OfficialKylie Marie DivineProvider · (573) 712-2333
Enumeration DateApril 3, 2012
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1871859918 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 · 2010020558
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.
1475 N WESTWOOD BLVD, Poplar Bluff, MO 63901
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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)

Divine Family Eye Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Divine Family Eye Care, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kylie Divine, O.D
Optometry
NPI 1558672162
1475 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 712-2333
✔ PECOS✔ Accepts MedicareSame address
Abigail Pierce, OD
Optometry
NPI 1306772983
1475 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 712-2333
✔ PECOS✔ Accepts MedicareSame address

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 Divine Family Eye Care, LLC's NPI number?

The NPI number for Divine Family Eye Care, LLC is 1871859918. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Divine Family Eye Care, LLC located?

Divine Family Eye Care, LLC is located at 1475 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 712-2333.

What is Divine Family Eye Care, LLC's specialty?

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

Is Divine Family Eye Care, LLC enrolled in Medicare?

Yes. Divine Family Eye Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Divine Family Eye Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Divine Family Eye Care, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Divine Family Eye Care, LLC 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 Divine Family Eye Care, LLC 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 Divine Family Eye Care, LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.