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

Dr. Ryan Kyle Petty, OD

Individual provider Optometrist · NPI 1174591960

Dr. Ryan Kyle Petty, OD is an Optometry in Paoli, Indiana. Graduated from Indiana University - School of Optometry in 2003, 23 years ago. Practices with Southern Indiana Eye Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Trained at
Indiana University - School of Optometry
Licensed in
IN
In the registry since
2006
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

488 W Hospital Rd
Paoli, IN 47454-8807
Phone: (812) 723-4752
Fax: (812) 723-4753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18003259A (IN)

Record details

NPI number1174591960
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESDecember 11, 2007
Mailing address488 W Hospital Rd, Paoli, IN 47454-8807

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2003 (23 years in practice)
Group practice Southern Indiana Eye Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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