Individual
DR. KYLE JOHN MCCASHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1525 W HIGH ST, BRYAN, OH 43506-1593
(419) 636-6723
(419) 636-1704
Mailing address
1525 W HIGH ST, BRYAN, OH 43506-1593
(419) 636-6723
(419) 636-1704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4477 T1133
OH
152WC0802X
Corneal and Contact Management Optometrist
4477 T1133
OH
152WP0200X
Pediatric Optometrist
4477 T1133
OH
152WS0006X
Sports Vision Optometrist
4477 T1133
OH
152WV0400X
Vision Therapy Optometrist
Primary
4477 T1133
OH
152WX0102X
Occupational Vision Optometrist
4477 T1133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199173
—
OH
01
—
03211
PARAMOUNT
OH
Enumeration date
01/18/2006
Last updated
09/11/2025
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