Individual provider Active NPI

Kyler Joseph Farnan, OD

  • Optometrist
  • Palm Springs, FL
National Provider Identifier
1568198158
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6141 Issued in FL
Practice address
2889 10TH Ave N
Palm Springs, FL 33461-3045
Phone
(239) 985-7171
Fax
(239) 985-7118
NPI assigned
Jul 27, 2022
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6141 FL Primary

Addresses

Primary practice location

2889 10TH Ave N
Palm Springs, FL 33461-3045

Mailing address

44 Barkley Cir
Fort Myers, FL 33907-7530
Phone (239) 985-7171

Other practice location 1

2550 S Douglas Rd
Coral Gables, FL 33134-6104
Phone (239) 985-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220820000040 FL Practitioner - Optometry 3779966924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6141FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Outpatient Surgical Center, LLC PastSince Mar 24, 2025 Accepting new patients
Abita Eye Group LLC Optometrist PastSince Jun 1, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1568198158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077530",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 S Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346104",
            "country_code": "US",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNAN",
        "first_name": "KYLER",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.