Individual
DR. KYLE D MAYGINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
459 COLEMANS CROSSING BLVD, MARYSVILLE, OH 43040-7068
(937) 553-6287
(937) 707-6933
Mailing address
226 FAIRHAVENS, MARYSVILLE, OH 43040-3532
(309) 645-2229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-008206
IL
152W00000X
Optometrist
Primary
OPT.007031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008206
—
IL
Enumeration date
11/08/2005
Last updated
07/10/2025
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