Individual
DR. KYLE E BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
352 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703
(573) 334-8595
(573) 334-4143
Mailing address
352 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5703
(573) 334-8595
(573) 334-4143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02741
MO
152WC0802X
Corneal and Contact Management Optometrist
T02741
MO
152WL0500X
Low Vision Rehabilitation Optometrist
T02741
MO
152WP0200X
Pediatric Optometrist
T02741
MO
152WX0102X
Occupational Vision Optometrist
T02741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105650
BLUE SHIELD PROVIDER #
MO
05
—
312628134
—
MO
Enumeration date
01/11/2007
Last updated
07/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us