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Active NPI 1912638115 Individual Practitioner Male Practitioner

Kyle Scott Bothwell

Optometrist • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Bothwell is a certified Optometrist practicing in Mesa, AZ. With approximately 4 years of clinical experience since graduating from Southern College Of Optometry in 2022, Kyle Bothwell delivers high-quality medical care to the local community at 1240 W SOUTHERN AVE STE 101.

Kyle Bothwell is affiliated with Nationwide Optometry P.C. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1240 W Southern Ave Ste 101

Mesa, AZ 852024882

Telephone 4806550741
Associated Practice Facility / Clinic
🏢 Nationwide Optometry P.c. Facility NPI 1497825632

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mesa, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -15.1 yrs vs City Avg
City Avg: 19.1 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
101 Specialists

Practicing in Mesa, AZ (1373 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bothwell (4 Years) 4 Yrs
Mesa Specialty Average (19.1 Years) 19.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-06-20
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ 002585

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.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License AZ 002585

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Hospital & Practice Group Affiliations

Nationwide Optometry P.c.

1240 W Southern Ave, Mesa, AZ 852024882

Phone: 4806550741

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2022

Registered at 1240 W SOUTHERN AVE STE 101, MESA, AZ 852024882 (Tel: 4806550741)

📍
Updated Business Mailing Address June 20, 2022

Registered at 3906 E PAGE AVE, GILBERT, AZ 852344423

👤
Provider Name / Credentials Updated June 20, 2022

Recorded as KYLE BOTHWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2022

Optometrist (License #002585 in AZ)

🟢
Initial NPI Registration & Enumeration June 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912638115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2022
Last Update: June 20, 2022
Sole Proprietor: No

Mailing Address

3906 E Page Ave

Gilbert, AZ 852344423

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.