Kyle Scott Bates (NPI# 1932767191, PAC ID# 0648504241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1932767191 |
| PAC ID by PECOS | 0648504241 |
| Professional Enrollment ID | I20190702002146 |
| Full Name | Kyle Scott Bates |
| Organization Legal Name | LAKESIDE VISION INC |
| Address |
888 W Houghton Lake Dr Prudenville MI 48651-0020 |
| Phone Number | 9893667525 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1254405608 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 888 W Houghton Lake Dr, Prudenville, MI 48651-0020 | 9893667525 | LAKESIDE VISION INC |
| Organization Legal Name | LAKESIDE VISION INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis E Boggs | Optometry | Lakeside Vision Inc | 888 W Houghton Lake Dr, Prudenville, MI 48651-0020 |
| Street Address |
888 W HOUGHTON LAKE DR |
| City | PRUDENVILLE |
| State | MI |
| Zip | 48651-0020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis E Boggs | Optometry | Lakeside Vision Inc | 888 W Houghton Lake Dr, Prudenville, MI 48651-0020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne A Blanchard | Nurse Practitioner | 1401 Short Dr, Prudenville, MI 48651-8436 | |
| Megan Marie Barnes | Chiropractic | Life Chiropractic and Wellness Center Inc | 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 |
| Brett A Zubeck | Chiropractic | Life Chiropractic and Wellness Center Inc | 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 |
| Carl F Schubert | Obstetrics/gynecology | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Cynthia Kay Rubert | Orthopedic Surgery | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Amorette Anderson | Nurse Practitioner | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Mark Edward Dibbet | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Jay M Ruddy | Nurse Practitioner | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Antoinette M Heliin | Physician Assistant | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Nicholas Blank | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Find all physicians in zip 48651 | |||
| City | PRUDENVILLE |
| Zip Code | 48651 |
| Specialty | OPTOMETRY |
| City + Specialty | PRUDENVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Kyle Scott Bates.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.