KAITLYN DWYER (NPI# 1417317363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417317363 |
| Entity Type | Individual |
| Full Name | KAITLYN DWYER |
| Credential | OD |
| Practice Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 |
| Practice Telephone | 8636807486 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5268 | FL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901004900 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285112136 | Kaitlyn Dwyer | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| Street Address |
1600 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940695 | Watson Clinic LLP | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2005-05-31 |
| 1134720261 | Hope Dukes | Family Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-11-04 |
| 1659994259 | Jessica Lynn Garber | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-05-19 |
| 1427681410 | Paula Suryani Wibowo | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-02-18 |
| 1932739828 | Ashley Duncan | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-21 |
| 1285273672 | Nicholas Skulimoski | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-02 |
| 1134779812 | Mallory Bastian | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-09-16 |
| 1730741356 | Kellie L. Smaidi | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-07-03 |
| 1982265864 | Alexandra Starzhevskiy | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2019-06-22 |
| 1548829666 | Ashley Nicole Craig | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798832 | Ayana Pierre | Optometrist | 4121 Us Highway 98 N # A140, Lakeland, FL 33809-3818 | 2020-01-02 |
| 1306408075 | Refractionistas | Optometrist | 1400 S Florida Ave, Lakeland, FL 33803-2257 | 2019-07-02 |
| 1730674102 | Robin Kalloor Thomas | Optometrist | 5319 Kinsley Ln, Lakeland, FL 33812-3824 | 2018-06-27 |
| 1780109082 | Eye See Solutions | Optometrist | 867 Hanover Way, Lakeland, FL 33813-2676 | 2017-08-08 |
| 1912241530 | Lakeland Eye Clinic, Pa | Optometrist | 6743 Us Highway 98 N, Lakeland, FL 33809-6226 | 2012-11-20 |
| 1013108919 | Eye Doctors Optical Outlets Pa | Optometrist | 3654 Harden Blvd, Lakeland, FL 33803-5968 | 2007-08-06 |
| 1679764617 | Eye Doctors Optical Outlets Pa | Optometrist | 4121 Us Highway 98 N, #a-140, Lakeland, FL 33809-3818 | 2007-08-06 |
| 1164572285 | Barton L. Powell | Optometrist | 2961 Canada Rd, Ste 104, Lakeland, TN 38002-4893 | 2007-01-11 |
| 1982792412 | Alan P Fisher | Optometrist | 2025 E Edgewood Dr, Lakeland, FL 33803-3601 | 2006-10-10 |
| 1134212145 | Stuart Kent Harrell | Optometrist | 2004 Cr 540-a, Lakeland, FL 33813 | 2006-10-02 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on KAITLYN DWYER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.