Provider Demographics
NPI:1598868788
Name:BAILEY, DAVID KYLE (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KYLE
Last Name:BAILEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1003 VANDORA SPRINGS DR.
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529
Mailing Address - Country:US
Mailing Address - Phone:919-772-4575
Mailing Address - Fax:918-772-4911
Practice Address - Street 1:1003 VANDORA SPRINGS DR.
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529
Practice Address - Country:US
Practice Address - Phone:919-772-4575
Practice Address - Fax:919-772-4911
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist