DR. KYLE CHARLES BENNETT – Optometrist, NPI 1679703607

DR. KYLE CHARLES BENNETT is a healthcare provider. based in Owasso, Oklahoma. specializing in OPTOMETRY. They hold a License No. 2596 (OK). The NPI Number for DR. KYLE CHARLES BENNETT is 1679703607

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE CHARLES BENNETT
NPI
1679703607
Phone
(918) 274-7100
Address
12455 E 100TH ST N
Enumeration Date
24 July 2009
Last Update Date
24 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182747100
Graduation Year
2009 (17 years ago)
PAC ID
6204973290
Group Practice PAC ID
7719082643
Professional Enrollment ID
I20091023000261
Address ID
OK740554675OW12455NXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for DR. KYLE CHARLES BENNETT

  • E 100th St North, Owasso, Rogers County, Oklahoma, United States

    SUITE 110

    OWASSO, OK 740554674

    Phone: (918) 274-7100

    Fax: (918) 274-7128

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-23

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
I20091023000261IOptometryOKTBD

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 system248246$0
99213Established patient office or other outpatient visit, 20-29 minutes6346$0
66984Removal of cataract with insertion of prosthetic lens3324$0
92004New patient complete exam of visual system2727$0
92083Exam of visual field with extended testing1918$0
View full utilization report →

Insurance plans in this area (ZIP 74055)

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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: 7719082643View full group profile
NameSpecialtyState
O P T O M E T R YOK

Reviews

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Frequently asked questions

How do I look up DR. KYLE CHARLES BENNETT by NPI?
Use NPI 1679703607 when you need to reference DR. KYLE CHARLES BENNETT in forms, claims, or directories.
Is DR. KYLE CHARLES BENNETT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KYLE CHARLES BENNETT list a primary specialty?
If you are matching referrals, note Optometrist for DR. KYLE CHARLES BENNETT. Clinical services aligned with this taxonomy classification.
Does DR. KYLE CHARLES BENNETT practice in Oklahoma?
You will see Owasso, Oklahoma on file for DR. KYLE CHARLES BENNETT alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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