DR. KYLE SHIVELY (NPI# 1861707564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861707564 |
| Entity Type | Individual |
| Full Name | DR. KYLE SHIVELY |
| Credential | O.D. |
| Practice Address |
5603 Auburn St Unit A Bakersfield CA 93306-2979 |
| Practice Telephone | 6614897765 |
| Practice Fax Number | 2097221118 |
| Mailing Telephone | 6614897765 |
| Mailing Fax Number | 6612463566 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14037TLG | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7508 Meany Ave, Bakersfield, CA 933085178 | 6615899400 |
| Street Address |
5603 AUBURN ST UNIT A |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215387469 | Bespectacled Eye Care Optometry Corp. | Optometrist | 5603 Auburn St Unit A, Bakersfield, CA 93306-2979 | 2016-06-20 |
| 1740691997 | Courtney Elizabeth Mcconnell | Psychologist | 5603 Auburn St Unit A, Bakersfield, CA 93306 | 2014-05-09 |
| 1669807475 | Sabrina Paula Graziano | Optometrist | 5603 Auburn St Unit A, Bakersfield, CA 93306-2979 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218208 | Korey Fukui | Optometrist | 6000 Physicians Blvd Bldg D, Bakersfield, CA 93301-5840 | 2019-11-06 |
| 1417459264 | Best Buy Eyewear | Optometrist | 2935 Oswell St Ste B, Bakersfield, CA 93306-2705 | 2018-03-07 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1730560889 | Julie Lam | Optometrist | 9370 Rosedale Hwy, Suite 100, Bakersfield, CA 93312-2162 | 2015-06-15 |
| 1942616040 | Virginie Dang | Optometrist | 5300 Lennox Ave Ste 101, Bakersfield, CA 93309-1662 | 2014-07-09 |
| 1912268442 | Daniel & Max, LLC | Optometrist | 4492 Ming Ave, Bakersfield, CA 93309-4800 | 2012-05-31 |
| 1669738845 | Bakersfield Optometric Group | Optometrist | 11320 Ming Ave, Suite 360, Bakersfield, CA 93311-1304 | 2012-04-02 |
| 1780955922 | Advanced Center for Eye Care | Optometrist | 4450 California Ave, Ste K #212, Bakersfield, CA 93309-1152 | 2012-01-19 |
| 1619257052 | Charles D. Fritch, M.d., Inc. | Optometrist | 9500 Brimhall Rd, 703, Bakersfield, CA 93312-2241 | 2011-08-17 |
| 1508098146 | Takhar Eye Care, Inc | Optometrist | 4725 Panama Ln Unit D11, Bakersfield, CA 93313-3434 | 2009-08-16 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.