DR. KYLE DEVON ANDRUS (O.D.) – Optometrist, NPI 1316982028

DR. KYLE DEVON ANDRUS (O.D.) is a healthcare provider. based in Mesquite, Nevada. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1929-865AT (LA). The NPI Number for DR. KYLE DEVON ANDRUS (O.D.) is 1316982028

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE DEVON ANDRUS (O.D.)
NPI
1316982028
Phone
(702) 346-2950
Address
330 N. Sandhill Blvd
Enumeration Date
17 June 2006
Last Update Date
19 April 2021

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3186865227
Graduation Year
1983 (43 years ago)
PAC ID
6709809692
Group Practice PAC ID
2365765658
Professional Enrollment ID
I20210426000265
Address ID
LA711182138SH8889XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

Provider Addresses for DR. KYLE DEVON ANDRUS (O.D.)

  • 330 N. Sandhill Blvd

    Suite A

    Mesquite, NV 89027

    Phone: (702) 346-2950

    Fax: (702) 346-2956

    Type: Location

  • Sandhill Boulevard, Mesquite, Clark County, Nevada, 89027, United States

    SUITE A

    MESQUITE, NV 89027

    Phone: (702) 346-2950

    Fax: (702) 346-2956

    Type: Mailing

  • 8889 JEWELLA AVE STE C&D

    SHREVEPORT, LA 711182138

    Phone: (318) 686-5227

    Fax: (318) 716-3376

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,148.

Total Amount is formed as General ($1,148) + Research ($0) + Ownership ($0) = $1,148.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($302).

Total Amount

$1,148

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2021-04-26

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
I20060105000880IOptometryNVTBD
I20210426000265IOptometryLATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 89027)

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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: 2365765658View full group profile
NameSpecialtyState
-MO
O P T O M E T R YLA

Reviews

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Frequently asked questions

Does DR. KYLE DEVON ANDRUS (O.D.) have a public NPI I can cite?
Public records show DR. KYLE DEVON ANDRUS (O.D.) under NPI 1316982028.
Does the public listing show DR. KYLE DEVON ANDRUS (O.D.) as active?
DR. KYLE DEVON ANDRUS (O.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KYLE DEVON ANDRUS (O.D.) provide?
DR. KYLE DEVON ANDRUS (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KYLE DEVON ANDRUS (O.D.)?
DR. KYLE DEVON ANDRUS (O.D.) shows a connection to Mesquite, Nevada in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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