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

Jacob Carl Yates

Individual provider Optometrist · NPI 1780412957

Jacob Carl Yates is an Optometry in Palm Coast, Florida. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2024, 2 years ago. Practices with Myeyedr Optometry of Florida, LLC, a 136-clinician group and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
2
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
FL, KY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

15 Cypress Branch Way Ste 205
Palm Coast, FL 32164-8414
Phone: (386) 445-1880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6592 (FL)
Optometrist Taxonomy 152W00000X · Licence 2416DT (KY)

Record details

NPI number1780412957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2024 (2 years in practice)
Group practice Myeyedr Optometry Of Florida, Llc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Palm Coast