OrganizationActive
Kyle D. Andrus PC
NPI 1053610956 · Optometrist · St. George, UT
Kyle D. Andrus PC is a Optometrist organization in St. George, UT (NPI 1053610956).
Provider details
- NPI number
- 1053610956
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kyle Andrus, President(435) 628-1112
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1930 W. Sunset Blvd
Suite 106
St. George, UT 84770-6530
Phone: (435) 628-1112
Fax: (435) 628-5653
Street-level locationGet directions
Mailing address
140 Flouroy Lucas Road
Shreveport, LA 71106
Registry dates
- Enumerated
- 2011-03-18
- Last updated
- 2021-05-17
- Certified
- 2021-04-24
Frequently asked questions
- What is Kyle D. Andrus PC's NPI number?
- Kyle D. Andrus PC's National Provider Identifier (NPI) is 1053610956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kyle D. Andrus PC?
- Kyle D. Andrus PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kyle D. Andrus PC located?
- Kyle D. Andrus PC's practice location on file with NPPES is 1930 W. Sunset Blvd, St. George, UT 84770-6530.
- What is Kyle D. Andrus PC's phone number?
- The practice phone number listed in the NPPES registry for Kyle D. Andrus PC is (435) 628-1112.
- Who is the authorized official for Kyle D. Andrus PC?
- The authorized official listed on Kyle D. Andrus PC's NPPES record is Kyle Andrus, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kyle D. Andrus PC's NPI active?
- Yes — Kyle D. Andrus PC's NPI (1053610956) is active in the NPPES registry as of the last update on 2021-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.