Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle Henderson, OD

Individual provider Optometrist · NPI 1780069609

Dr. Kyle Henderson, OD is an Optometry in Yukon, Oklahoma. Qualified in 2015, 11 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
11
Licensed in
OK
In the registry since
2015
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1207 Cornwell Dr
Yukon, OK 73099-4633
Phone: (405) 354-3384
Fax: (405) 354-0703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 501 E 15th St, Edmond, OK 73013-5043 — (405) 341-2062
  • 1455 S Douglas Blvd, Oklahoma City, OK 73130-5268 — (405) 733-4545

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2853 (OK)

Record details

NPI number1780069609
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESNovember 25, 2020
Certification dateJuly 23, 2020
Mailing address1207 Cornwell Dr, Yukon, OK 73099-4633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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