KEVIN MICHAEL FLYNN (O.D.) – Optometrist, NPI 1053460394

KEVIN MICHAEL FLYNN (O.D.) is a healthcare provider. based in Augusta, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901003815 (MI). The NPI Number for KEVIN MICHAEL FLYNN (O.D.) is 1053460394

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN MICHAEL FLYNN (O.D.)
NPI
1053460394
Phone
(269) 731-5665
Address
7415 STONEY CREEK DR
Enumeration Date
9 January 2007
Last Update Date
30 July 2008

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
7345258170
Graduation Year
1996 (30 years ago)
PAC ID
0446366587
Group Practice PAC ID
7113395864
Professional Enrollment ID
I20101030000100
Address ID
MI481543039LI32415RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for KEVIN MICHAEL FLYNN (O.D.)

  • Stoney Creek Drive, Augusta County, Virginia, 24440, United States

    AUGUSTA, MI 490128851

    Phone: (269) 731-5665

    Type: Mailing

  • 8085, North 32nd Street, Richland Township, Kalamazoo County, Michigan, 49083, United States

    RICHLAND, MI 490839650

    Phone: (269) 629-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $411.

Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($315).

Total Amount

$411

General + Research + Ownership

Payments

19

Total payment records

General Amount

$411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2010-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101030000100IOptometryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system173171$0
92004New patient complete exam of visual system5858$0
92083Exam of visual field with extended testing4739$0
92133Imaging of optic nerve2726$0
92134Imaging of retina2323$0
View full utilization report →

Insurance plans in this area (ZIP 49012)

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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: 7113395864View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YSD
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Where can patients find KEVIN MICHAEL FLYNN (O.D.)'s NPI?
You can confirm KEVIN MICHAEL FLYNN (O.D.) with NPI 1053460394; it appears in the national provider directory.
Is KEVIN MICHAEL FLYNN (O.D.) currently active in the NPI registry?
CMS-published data lists KEVIN MICHAEL FLYNN (O.D.) as an active registrant.
Does KEVIN MICHAEL FLYNN (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for KEVIN MICHAEL FLYNN (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for KEVIN MICHAEL FLYNN (O.D.)?
We surface Augusta, Michigan for KEVIN MICHAEL FLYNN (O.D.) based on available NPPES addresses.
Is KEVIN MICHAEL FLYNN (O.D.) a real provider?
This page reflects official NPPES data for NPI 1053460394. Always confirm identity and privileges with the practice and licensing boards.

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