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

Katie Lynn Kyles, OD

Individual provider Optometrist · NPI 1962278747

Katie Lynn Kyles, OD is an Optometry in Green Bay, Wisconsin. Graduated from University of Missouri St Louis - School of Optometry in 2023, 3 years ago. Practices with Modern Eyes Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
3
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO, WI
In the registry since
2023
Specialties on file
2
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

2330 S Oneida St Ste 102
Green Bay, WI 54304-5118
Phone: (920) 499-3937
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3986-35 (WI)
Optometrist Taxonomy 152W00000X · Licence 2023047487 (MO)

Record details

NPI number1962278747
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 1, 2023
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Modern Eyes Ltd. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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