| Kaitlyn Dwyer, OD | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | |
| (863) 680-7486 | |
| (866) 264-8519 |
| Full Name | Kaitlyn Dwyer |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417317363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004900 (Michigan) | Secondary |
| 152W00000X | Optometrist | OPC5268 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watson Clinic Llp | 1456258979 | 375 |
| Provider Name | Watson Clinic Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Dwyer, OD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7000 | Kaitlyn Dwyer, OD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7486 |
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