DR. KYLE LARK (OD) – Optometrist, NPI 1346731163

DR. KYLE LARK (OD) is a healthcare provider. based in Mt pleasant, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005111 (MI). The NPI Number for DR. KYLE LARK (OD) is 1346731163

Main info

Male
8 Years Of Experience
Name
DR. KYLE LARK (OD)
NPI
1346731163
Phone
(989) 773-7747
Address
2865 S Lincoln Rd
Enumeration Date
29 May 2018
Last Update Date
29 May 2018

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
9894631139
Graduation Year
2018 (8 years ago)
PAC ID
3173879525
Group Practice PAC ID
5294854105
Professional Enrollment ID
I20180627003191
Address ID
MI488011242AL1321XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for DR. KYLE LARK (OD)

  • 2865 S Lincoln Rd

    MT Pleasant, MI 488589085

    Phone: (989) 773-7747

    Fax: (989) 779-1068

    Type: Location

  • 111 W Main Street

    Carson City, MI 48811

    Phone: (989) 584-6868

    Fax: (989) 584-3006

    Type: Location

  • 1321, Pine Avenue, Alma, Pine River Township, Gratiot County, Michigan, 48801, United States

    ALMA, MI 488011242

    Phone: (989) 463-1139

    Fax: (989) 466-2808

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $843.

Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: CooperVision Inc. ($403).

Total Amount

$843

General + Research + Ownership

Payments

30

Total payment records

General Amount

$843

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2018-06-27

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
I20180627003191IOptometryMITBD

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 system144142$0
92012Established patient problem focused exam of visual system9859$0
92250Photography of the retina4036$0
92134Imaging of retina3735$0
92133Imaging of optic nerve2827$0
View full utilization report →

Insurance plans in this area (ZIP 48858)

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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: 5294854105View 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 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

Does DR. KYLE LARK (OD) have a public NPI I can cite?
Public records show DR. KYLE LARK (OD) under NPI 1346731163.
Should I treat DR. KYLE LARK (OD) as an active provider?
Patients and plans typically see DR. KYLE LARK (OD) as active in the national extract.
Which specialty label fits DR. KYLE LARK (OD)?
NPPES ties DR. KYLE LARK (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. KYLE LARK (OD) tied to Mt Pleasant, Michigan?
If you are local to Mt Pleasant, Michigan, DR. KYLE LARK (OD) may be relevant to your search.
Can I export DR. KYLE LARK (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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