Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
J. KYLE SMITH, O.D.
Active Sole ProprietorJ. KYLE SMITH, O.D. is a Optometrist healthcare provider located in FORT BRAGG, California. NPI 1184674152 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT BRAGG, CA
Registration Details
- NPI Number
- 1184674152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.28624281983 yrs)
- Last Updated
- Oct 23, 2023
- Licenses
-
11804 (CA)11804 (CA)11804 (CA)11804 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 N MCPHERSON STFORT BRAGG, CA, 954373314Browse CA providers · Browse ZIP 95437
- Phone
- 7079645927
- Fax
- 7079646533
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Low Vision Rehabilitation Optometrist
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in FORT BRAGG, CA
| Name | Credential | NPI |
|---|---|---|
| LYNETTE KLINE | O.D. | 1881688380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.