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

Kylie Marie Divine, OD

Individual provider Optometrist · NPI 1558672162

Kylie Marie Divine, OD is an Optometry in Poplar Bluff, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2010
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

1475 N Westwood Blvd
Poplar Bluff, MO 63901-3315
Phone: (573) 712-2333
Fax: (572) 712-2433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2010020558 (MO)

Record details

NPI number1558672162
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

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 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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