DR. MARLYN ANDREW KYLE (OD) – Optometrist, NPI 1669964359

DR. MARLYN ANDREW KYLE (OD) is a healthcare provider. based in American fork, Utah. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 8194025-9934 (UT). The NPI Number for DR. MARLYN ANDREW KYLE (OD) is 1669964359

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARLYN ANDREW KYLE (OD)
NPI
1669964359
Phone
(801) 756-7996
Address
24 W MAIN ST
Enumeration Date
30 May 2018
Last Update Date
12 February 2020

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8017567996
Graduation Year
2018 (8 years ago)
PAC ID
0547697625
Group Practice PAC ID
8224464466
Professional Enrollment ID
I20200302002040
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARLYN ANDREW KYLE (OD)

  • 24, West Main Street, American Fork, Utah County, Utah, 84003, United States

    AMERICAN FORK, UT 840032318

    Phone: (801) 756-7996

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Alcon Vision LLC ($146).

Total Amount

$317

General + Research + Ownership

Payments

10

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

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: 2020-03-02

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
I20200302002040IOptometryUTTBD

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 84003)

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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: 8224464466View full group profile
NameSpecialtyState
-UT

Reviews

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Frequently asked questions

What number should I use to identify DR. MARLYN ANDREW KYLE (OD) for billing?
Administrative and clinical systems typically use NPI 1669964359 for DR. MARLYN ANDREW KYLE (OD).
Should I treat DR. MARLYN ANDREW KYLE (OD) as an active provider?
Patients and plans typically see DR. MARLYN ANDREW KYLE (OD) as active in the national extract.
What does the directory say DR. MARLYN ANDREW KYLE (OD) does?
Insurance directories may phrase it differently, but here DR. MARLYN ANDREW KYLE (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARLYN ANDREW KYLE (OD)?
DR. MARLYN ANDREW KYLE (OD) shows a connection to American Fork, Utah in registry-derived data.
Why is information missing for DR. MARLYN ANDREW KYLE (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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