Individual
DR. KYLE D ABSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
905 PARK AVE, STE 100, ORANGE PARK, FL 32073-4101
(904) 264-1206
(904) 264-3685
Mailing address
960 PLAINFIELD AVE, ORANGE PARK, FL 32073-3949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20207
BLUE CROSS BLUE SHIELD FL
FL
01
—
2203741
UNITED HEALTHCARE
FL
01
—
4410864
AETNA
FL
Enumeration date
11/14/2005
Last updated
01/29/2008
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