DR. KYLE DANIEL SNYDER (O.D.) – Optometrist, NPI 1073863965

DR. KYLE DANIEL SNYDER (O.D.) is a healthcare provider. based in Richton park, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010620 (IL). The NPI Number for DR. KYLE DANIEL SNYDER (O.D.) is 1073863965

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE DANIEL SNYDER (O.D.)
NPI
1073863965
Phone
(708) 898-9994
Address
22401 CENTRAL AVE
Enumeration Date
18 September 2012
Last Update Date
28 June 2019

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7735883090
Graduation Year
2012 (14 years ago)
PAC ID
1850546821
Group Practice PAC ID
7012175102
Professional Enrollment ID
I20130222000218
Address ID
IL606593307CH3500XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. KYLE DANIEL SNYDER (O.D.)

  • 22401 CENTRAL AVE

    RICHTON PARK, IL 604712062

    Phone: (708) 898-9994

    Type: Location

  • 234 LINCOLNSHIRE LN

    BOLINGBROOK, IL 604401921

    Phone: (708) 265-1957

    Type: Mailing

  • 4005 167th St

    Country Club Hills, IL 604782071

    Phone: (708) 647-1689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130222000218IOptometryILTBD
I20250730001468IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012175102View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YNE
O P T O M E T R YIL
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. KYLE DANIEL SNYDER (O.D.)?
The federal identifier for DR. KYLE DANIEL SNYDER (O.D.) is NPI 1073863965.
Is DR. KYLE DANIEL SNYDER (O.D.)'s NPI currently valid?
The extract we use shows DR. KYLE DANIEL SNYDER (O.D.) as active.
Can you summarize DR. KYLE DANIEL SNYDER (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. KYLE DANIEL SNYDER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. KYLE DANIEL SNYDER (O.D.)?
We surface Richton Park, Illinois for DR. KYLE DANIEL SNYDER (O.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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