Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255361663 Deactivated / Inactive NPI Male Practitioner

Dr. Kermit Howard Bott , OD

Optometrist • Iron Mountain, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kermit Bott has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2006
NPI Deactivation Date October 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kermit Bott, OD was a registered Optometrist practicing in Iron Mountain, MI. Throughout an active medical career spanning 17 years, Dr. Bott provided care at the practice location at 325 EAST H ST. until profile deactivation on 2023-10-13.

Practice Location & Contact Primary Location

Practice Address

325 East H St.

Iron Mountain, MI 498014792

Telephone 9067743300
Associated Practice Facility / Clinic
🏢 Iron Mountain Vamc Facility NPI 1528026333

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Iron Mountain, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Iron Mountain, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 942

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kirk Matthews , LMSW

Social Worker - Clinical

NPI 1003069907

Licensed Master Social Worker

Janice Bolander , LMSW

Social Worker - Clinical

NPI 1003313792

Licensed Master Social Worker

Susan Scullon

Registered Nurse - Home Health

NPI 1003477423
NPI 1003478959

Doctor of Dental Medicine

Kelsey Mellon

Registered Nurse

NPI 1003735887
Molly Stenfors , RN

Registered Nurse

NPI 1003744491

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 13, 2023

Record deactivated on October 13, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 325 EAST H ST., IRON MOUNTAIN, MI 498014792 (Tel: 9067743300)

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Updated Business Mailing Address July 08, 2007

Registered at N3385 PINE MOUNTAIN RD, UNIT 5, IRON MOUNTAIN, MI 498019495 (Tel: 9067799855)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KERMIT BOTT, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #942 in FL)

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Initial NPI Registration & Enumeration July 03, 2006

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: 1255361663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: July 08, 2007
Deactivation Date: October 13, 2023

Mailing Address

N3385 Pine Mountain Rd, Unit 5

Iron Mountain, MI 498019495

Phone: 9067799855

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.