Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ryan Kyle Petty, OD

Individual provider Optometrist · NPI 1174591960

Dr. Ryan Kyle Petty, OD is an Optometry in Paoli, Indiana. Graduated from Indiana University - School of Optometry in 2003, 23 years ago. Practices with Southern Indiana Eye Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Trained at
Indiana University - School of Optometry
Licensed in
IN
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

488 W Hospital Rd
Paoli, IN 47454-8807
Phone: (812) 723-4752
Fax: (812) 723-4753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18003259A (IN)

Record details

NPI number1174591960
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESDecember 11, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2003 (23 years in practice)
Group practice Southern Indiana Eye Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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