J Kyle Smith, OD is a medicare enrolled "Optometrist" provider in Fort Bragg, California. He went to University Of California - School Of Optometry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Optometry. His current practice location is
450 N Mcpherson St, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at
(707) 964-5927.
J Kyle Smith is licensed to practice in California (license number 11804) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184674152.
Healthcare Provider's Profile
| Full Name | J Kyle Smith |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 23 Years |
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| Location | 450 N Mcpherson St, Fort Bragg, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- J Kyle Smith attended and graduated from University Of California - School Of Optometry in 2001
NPI Data:
- NPI Number: 1184674152
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183604747
- Enrollment ID: I20040723000258
Medical Identifiers
Medical identifiers for J Kyle Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184674152 | NPI | - | NPPES |
| 410048777 | Other | CA | RRMCARE |
| RR3046 | Other | CA | RR MEDICARE |
| SD0118040 | Medicaid | CA | |
| 5187135 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 11804 (California) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 11804 (California) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 11804 (California) | Secondary |
| 152W00000X | Optometrist | 11804 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. J Kyle Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
J Kyle Smith, OD
450 N Mcpherson St,
Fort Bragg, CA 95437-3314
Ph: (707) 964-5927 | J Kyle Smith, OD
450 N Mcpherson St,
Fort Bragg, CA 95437-3314
Ph: (707) 964-5927 |
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