EYEDOCS FAMILY EYE CARE – Optometrist, NPI 1912411497

EYEDOCS FAMILY EYE CARE is a healthcare provider. based in Germantown, Ohio. specializing in Optometrist. The organization holds a License No. 6478 (OH). The NPI Number for EYEDOCS FAMILY EYE CARE is 1912411497

Main info

Organization
Name
EYEDOCS FAMILY EYE CARE
NPI
1912411497
Phone
(937) 770-1265
Address
1265 W Market St
Authorized Official
DR. KYLE MAXAM OPTOMETRIST OD
Enumeration Date
20 November 2017
Last Update Date
6 June 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for EYEDOCS FAMILY EYE CARE

  • 1265 W Market St

    Germantown, OH 453271715

    Phone: (937) 770-1265

    Fax: (937) 770-1268

    Type: Location

  • 430 ARLINGTON RD STE A

    BROOKVILLE, OH 453091103

    Phone: (937) 770-1265

    Fax: (937) 770-1268

    Type: Mailing

  • 430, Arlington Road, Brookville, Montgomery County, Ohio, 45309, United States

    BROOKVILLE, OH 453091103

    Phone:

    Type: Mailing

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: 2018-02-05

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
O20180205001941OClinic/Group PracticeOHTBD

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 45327)

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Reviews

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Frequently asked questions

What is the standard ID for EYEDOCS FAMILY EYE CARE in the U.S.?
In the U.S., EYEDOCS FAMILY EYE CARE is identified by NPI 1912411497.
Should I treat EYEDOCS FAMILY EYE CARE as an active provider?
Patients and plans typically see EYEDOCS FAMILY EYE CARE as active in the national extract.
Which specialty label fits EYEDOCS FAMILY EYE CARE?
NPPES ties EYEDOCS FAMILY EYE CARE to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is EYEDOCS FAMILY EYE CARE tied to Germantown, Ohio?
If you are local to Germantown, Ohio, EYEDOCS FAMILY EYE CARE may be relevant to your search.
Who maintains EYEDOCS FAMILY EYE CARE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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