Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J. Kyle Smith, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1184674152

J. Kyle Smith, OD is an Optometry in Fort Bragg, California. Graduated from University of California - School of Optometry in 2001, 25 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Trained at
University of California - School of Optometry
Licensed in
CA
In the registry since
2006
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

450 N McPherson St
Fort Bragg, CA 95437-3314
Phone: (707) 964-5927
Fax: (707) 964-6533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 March Ave Ste A, Healdsburg, CA 95448-3367 — (707) 433-5020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11804 (CA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 11804 (CA)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 11804 (CA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 11804 (CA)

Record details

NPI number1184674152
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 11, 2006
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address450 N McPherson St, Fort Bragg, CA 95437-3314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice Mendocino Coast Clinics, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare