MEDICARE: DR. KYLE ELIZABETH RUIZ OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11697	TX

General Provider Information

NPI Number	:	1720913411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE ELIZABETH RUIZ OD

Provider Business Mailing Address
First Line	:	119 ULEX AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2411
Country	:	US
Telephone Number	:	956-599-0166
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 N 10TH ST STE 600
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-9396
Country	:	US
Telephone Number	:	956-599-0166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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