KYLE BETTIS (NPI# 1871046565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871046565 |
| Entity Type | Individual |
| Full Name | KYLE BETTIS |
| Practice Address |
2254 W International Speedway Blvd Daytona Beach FL 32114-1124 |
| Mailing Address |
3 Prince John Ln Palm Coast FL 32164-7159 |
| Practice Telephone | 1386252363 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 5258 | FL | Eye and Vision Services Providers |
| Street Address |
2254 W INTERNATIONAL SPEEDWAY BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1518495688 | Whitney Rogers | Optometrist | 2500 W International Speedway Blvd Ste 210, Daytona Beach, FL 32114-8146 | 2017-06-01 |
| 1073910386 | Leah Wiedemamn | Optometrist | 716 N Halifax Ave Apt 9, Daytona Beach, FL 32118-3852 | 2014-12-02 |
| 1710110598 | Dr. Joe E.miller II Optometrist Pa | Optometrist | 173 Integra Breeze Ln, Unit#103, Daytona Beach, FL 32117-5589 | 2009-08-27 |
| 1437336856 | Ashley Claire Royce | Optometrist | 3641 South Clyde Morris Blvd Suite 500, Daytona Beach, FL 32724-2357 | 2008-01-28 |
| 1174703979 | Beach Eye Care Inc | Optometrist | 501 Plaza Blvd, Daytona Beach, FL 32118-3014 | 2007-11-08 |
| 1720106750 | Jayeshkumar Patel | Optometrist | 2254 W. International Speedway Blvd., Daytona Beach, FL 32114 | 2007-03-27 |
| 1912024258 | Ronald Francis Baldwin | Optometrist | 2475 W International Speedway Blvd, Suite 100, Daytona Beach, FL 32114-1117 | 2007-03-23 |
| 1255466462 | Philip G Toscano | Optometrist | 301 Glenview Blvd, Daytona Beach, FL 32118-3014 | 2007-02-21 |
| 1326004953 | Christopher Alan Scott | Optometrist | 314 N Segrave St, Daytona Beach, FL 32114-3143 | 2006-04-22 |
| 1396711511 | Richard Seith | Optometrist | 1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5103 | 2006-02-27 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on KYLE BETTIS.
| 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.