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

Kyle S Fallgatter, MD

Individual provider Ophthalmology Physician · NPI 1588160188

Kyle S Fallgatter, MD is an Ophthalmology in Jacksonville, Florida. Graduated from University of Florida College of Medicine in 2018, 8 years ago. Practices with Retina Vitreous Consultants, a 44-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
8
Trained at
University of Florida College of Medicine
Licensed in
FL, GA
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2639 Oak St
Jacksonville, FL 32204-4505
Phone: (904) 387-5600
Fax: (904) 388-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2416 Lynndale Rd Ste 201, Fernandina Beach, FL 32034-5230 — (904) 997-9202
  • 8786 Perimeter Park Blvd, Jacksonville, FL 32216-6347 — (904) 997-9202
  • 50 Leanni Way Unit E5, Palm Coast, FL 32137-4757 — (386) 447-1847
  • 3120 Glynn Ave, Brunswick, GA 31520-4848 — (912) 262-9092
  • 304 Riverside Dr, Waycross, GA 31501-4549 — (912) 283-1400

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME168086 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence 101374 (GA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence ME168086 (FL)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 101374 (GA)

Record details

NPI number1588160188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address2639 Oak St, Jacksonville, FL 32204-4505

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Retina Vitreous Consultants — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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