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

Kyle J Kenison, OD

Individual provider Optometrist · NPI 1750370730

Kyle J Kenison, OD is an Optometry in Mountain Home, Idaho. Graduated from Pacific University - College of Optometry in 1993, 33 years ago. Practices with Elmore County Eyecare, PA, a 3-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
33
Trained at
Pacific University - College of Optometry
Licensed in
MT
In the registry since
2005
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

855 W 6th S
Mountain Home, ID 83647
Phone: (208) 587-2020
Fax: (208) 587-3349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence MT 587 (MT)

Record details

NPI number1750370730
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESMarch 15, 2017
Mailing address855 West 6th South, Mountain Home, ID 83647

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1993 (33 years in practice)
Group practice Elmore County Eyecare, Pa. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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