DR. KYLE ROBERT FAIRLESS O.D.
NPI 1912062654
Optometrist in Rochester Hills, MI

Q: What is Kyle Fairless's NPI number?

The NPI number for Kyle Fairless is 1912062654. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Kyle Fairless'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 Fairless was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 22, 2006PECOS Enrolled

3160 S ROCHESTER RD, ROCHESTER HILLS, MI 48307(248) 853-4141(248) 853-1641 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Kyle Robert Fairless O.d. NPPES

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

DR. KYLE ROBERT FAIRLESS O.D. (NPI 1912062654) is an individual optometrist in Rochester Hills, Michigan, licensed in Michigan (4901003708) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912062654

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KYLE ROBERT FAIRLESSCredential: O.D.

Location Address3160 S ROCHESTER RDRochester Hills, MI 48307-5040

Mailing Address3160 S Rochester RdRochester Hills, MI 48307-5040 · (248) 853-4141 · Fax (248) 853-1641

Phone(248) 853-4141

Fax(248) 853-1641

Sole ProprietorNo

Enumeration DateDecember 22, 2006

Last NPPES UpdateSeptember 4, 2025

NPPES CertifiedSeptember 4, 2025

✔ NPI 1912062654 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 MI · 4901003708

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.

3160 S ROCHESTER RD, Rochester Hills, MI 48307

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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 Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Kyle Robert Fairless O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Fairless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luxottica Of America Inc

235 mi

Optometrist

4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040

Reassigned Medicare billing, Michigan enrollment
40 clinicians in this Medicare group

NPI 1689711046 (513) 765-3534

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 4

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

DR. KELLY NICOLE JANOS OD

Optometrist

3160 S ROCHESTER RD
ROCHESTER HILLS, MI 48307

Oakland County (248) 853-4141

DR. JUN FU O,D,

Optometrist

3160 S ROCHESTER RD
ROCHESTER HILLS, MI 48307

Oakland County (248) 853-4141

LUXOTTICA OF AMERICA INC.

Eyewear Supplier

3160 S ROCHESTER RD
ROCHESTER HILLS, MI 48307

Oakland County (248) 853-4141

DR. LORISSA M. HEMMER O.D.

Optometrist

3160 S ROCHESTER RD
ROCHESTER HILLS, MI 48307

Oakland County (248) 853-4141

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 Fairless's NPI number?

The NPI number for Kyle Fairless is 1912062654. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Kyle Fairless located?

Kyle Fairless practices at 3160 S Rochester Rd, Rochester Hills, MI 48307. The listed phone number is (248) 853-4141.

What is Kyle Fairless's specialty?

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

Is Kyle Fairless enrolled in Medicare?

Yes. Kyle Fairless is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Fairless's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Fairless reassigns Medicare benefits to Luxottica Of America Inc (Mason, OH). 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 Fairless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Fairless accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Fairless 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 Fairless was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.