| Dr Kyle Scott Bates, OD | |
|
888 W Houghton Lake Dr, Prudenville, MI 48651-9451 | |
| (989) 366-7525 | |
| Not Available |
| Full Name | Dr Kyle Scott Bates |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 888 W Houghton Lake Dr, Prudenville, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932767191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901005234 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Vision Prudenville Pc | 8729475769 | 2 |
| Provider Name | Lakeside Vision Prudenville Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003557133 PECOS PAC ID: 8729475769 Enrollment ID: O20220421002588 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Scott Bates, OD 888 W Houghton Lake Dr, Prudenville, MI 48651-9451 Ph: (989) 366-7525 | Dr Kyle Scott Bates, OD 888 W Houghton Lake Dr, Prudenville, MI 48651-9451 Ph: (989) 366-7525 |
Lakeside Vision, Prudenville, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-7525 Fax: 989-366-5405 | |
Louis E Boggs, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-7525 Fax: 989-366-5405 | |
Lakeside Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-7525 Fax: 989-366-5405 |