J. Kyle Smith in Fort Bragg - Corneal And Contact Management

J. Kyle Smith - NPI 1184674152

J. Kyle Smith is a Corneal And Contact Management in Fort Bragg, California. J. Kyle Smith practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for J. Kyle Smith is 1184674152. The last update date is 2023-10-23.

J. Kyle Smith's current location address is 450 N Mcpherson St, Fort Bragg, California. You can contact this provider via phone number 7079645927 and fax number 7079646533. The mailing address for J. Kyle Smith is 450 N Mcpherson St, Fort Bragg, California. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Kyle Smith
Address 450 N Mcpherson St, Fort Bragg, California
Phone Number 7079645927
Fax Number 7079646533
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1184674152
Provider Enumeration Date 2006-05-11
Last Updated Date 2023-10-23

Provider Mailing Address Detail

Address 450 N Mcpherson St
City Fort Bragg
State California (CA)
Post Code 954373314
Phone Number 7079645927
Fax Number 7079646533

Provider's Primary Taxonomy Detail

Speciality Corneal And Contact Management
Taxonomy 152Wc0802X
Licence No 11804
Definition:
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
410048777 CA RRMCARE
RR3046 CA RR MEDICARE
SD0118040 CA --
5187135 CA --

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FAQs about J. Kyle Smith

What is the unique 10-digit identification code assigned to J. Kyle Smith by the Centers for Medicare & Medicaid Services?

The J. Kyle Smith has been issued the NPI (National Provider Identifier) 1184674152, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where J. Kyle Smith is physically located?

The J. Kyle Smith is situated at the following address: 450 N Mcpherson St, Fort Bragg, CA 954373314.

What is the J. Kyle Smith's specialty and taxonomy code?

The J. Kyle Smith's specialty is Corneal And Contact Management, and the corresponding taxonomy code is 152Wc0802X.

On what date did J. Kyle Smith receive its 1184674152 assignment from the Centers for Medicare & Medicaid Services?

The J. Kyle Smith was assigned its 1184674152 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the J. Kyle Smith's information last updated?

The J. Kyle Smith's information was last updated on 2023-10-23.

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