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

Kyle Stewart

Individual provider Community Health Worker · NPI 1366026601

Kyle Stewart is an Optometry in Eagle Mountain, Utah. Qualified in 2025, 1 year ago. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2021
Specialties on file
3

Practice location Address checks out

4408 E Pony Express Pkwy Ste A
Eagle Mountain, UT 84005-5564
Phone: (801) 702-8180
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14287722-9934 (UT)
Community Health Worker Taxonomy 172V00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1366026601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare