| Kyle Bettis, | |
|
2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 | |
| (138) 625-2363 | |
| Not Available |
| Full Name | Kyle Bettis |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2254 W International Speedway Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871046565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 5258 (Florida) | Primary |
| Provider Name | Qing Ge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225053192 PECOS PAC ID: 3173525888 Enrollment ID: I20070209000135 |
| Provider Name | Gulf Coast Optometry Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083859409 PECOS PAC ID: 0941359533 Enrollment ID: O20090602000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Bettis, 3 Prince John Ln, Palm Coast, FL 32164-7159 Ph: () - | Kyle Bettis, 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 Ph: (138) 625-2363 |
Dr. Jalene Haynes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave, Suite 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Shanelle Jenkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Shivam Patel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave Ste 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Ronald E Monacelli, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-253-5999 Fax: 386-258-3973 | |
Leah Wiedemamn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716 N Halifax Ave Apt 9, Daytona Beach, FL 32118 Phone: 314-583-0324 | |
Dr. Ian D. Raden, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Eye Clinic, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Todd Geis, MD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-676-7103 |