Kylie Marie Divine, O.D
NPI 1558672162ActiveIndividual· Optometrist· Poplar Bluff, MO
Optometrist (O.D) in Poplar Bluff, Missouri, trained at University of Missouri St Louis - School of Optometry (class of 2010). In 2024 Medicare paid $47,402 for 373 patients, and Part D covered 449 of their prescriptions, 62% of them generic. Coopervision Inc. reported $17.75 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1558672162 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D |
| Sole proprietor | No |
| NPI issued | Jun 29, 2010 |
| Last updated in NPPES | Feb 5, 2026 |
| Certified by provider | Feb 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2010020558 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 373 |
|---|---|
| Services billed | 808 across 16 procedure codes |
| Paid by Medicare | $47,402 |
Part D prescriptions in 2024
| Prescriptions (claims) | 449 · 777 30-day fills |
|---|---|
| Patients | 149 |
| Total drug cost | $64,110 |
| Generic share | 62% of claims |
Education and affiliations
| Medical school | University of Missouri St Louis - School of Optometry |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Optometry |
Medical group
- Divine Family Eye Care, LLCPoplar Bluff, MO · 2 clinicians
Industry payments (Open Payments)
- 2025$17.75 · 1 payment from 1 company
- 2024$53.97 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $17.75 | 1 |
What the 2025 payments were for
- Food and Beverage$17.75 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 optometrists in Poplar Bluff · All optometrists in Missouri