Optometrist
KYLE BOTHWELL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912638115 · enumerated 2022-06-20 · record updated 2022-06-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3906 E PAGE AVE, GILBERT, AZ, 85234-4423 Google Maps Apple Maps OpenStreetMap
- Practice location 1240 W SOUTHERN AVE STE 101, MESA, AZ, 85202-4882 (480) 655-0741 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist, Pediatrics 152WP0200X · License 002585 AZ
- Optometrist 152W00000X · Primary · License 002585 AZ
In this directory
Locations and evidence
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Practice location
MESA, AZ, 852024882
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.