Kickapoo Management LLC
NPI 1568849073 · Eyewear Supplier · Perry, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kickapoo Management LLC is a Eyewear Supplier organization in Perry, UT (NPI 1568849073).
Provider details
- NPI number
- 1568849073
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Paul Reed, Managing Member(435) 239-8756
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Perry Eyecare
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2016-01-15
Frequently asked questions
- What is Kickapoo Management LLC's NPI number?
- Kickapoo Management LLC's National Provider Identifier (NPI) is 1568849073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kickapoo Management LLC?
- Kickapoo Management LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Kickapoo Management LLC located?
- Kickapoo Management LLC's practice location on file with NPPES is 2480 S Highway 89, Perry, UT 84302-6727.
- What is Kickapoo Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Kickapoo Management LLC is (435) 239-8756.
- Does Kickapoo Management LLC accept Medicare?
- Kickapoo Management LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kickapoo Management LLC?
- The authorized official listed on Kickapoo Management LLC's NPPES record is Paul Reed, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kickapoo Management LLC's NPI active?
- Yes — Kickapoo Management LLC's NPI (1568849073) is active in the NPPES registry as of the last update on 2016-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.