MEDICARE: DR. JAMES HARRISON KYTE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618002924	VA

General Provider Information

NPI Number	:	1265958524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HARRISON KYTE OD

Provider Business Mailing Address
First Line	:	17 N MEDICAL PARK DR
Second Line	:
City	:	FISHERSVILLE
State	:	VA
Zip	:	22939-2344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 HILL TOP LN
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-5726
Country	:	US
Telephone Number	:	540-463-4140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2017
Last Update Date	:	08/08/2024

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