Kyle Scott Bothwell
NPI 1912638115ActiveIndividual· Optometrist· Mesa, AZ
Optometrist in Mesa, Arizona, trained at Southern College of Optometry (class of 2022). Enrolled in Medicare as practitioner - optometry. Alcon Vision LLC was the largest of 2 companies reporting payments in 2025, $210.48 in all, mostly food and beverage.
Overview
| NPI | 1912638115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 20, 2022 |
| Last updated in NPPES | Jun 20, 2022 |
| Certified by provider | Jun 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 002585 | AZ |
| Optometrist, Pediatrics | 152WP0200X | 002585 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (AZ) |
|---|
Education and affiliations
| Medical school | Southern College of Optometry |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Optometry |
Medical group
- Nationwide Optometry P.C.Green Valley, AZ · 53 clinicians
Industry payments (Open Payments)
- 2025$210.48 · 2 payments from 2 companies
- 2024$102.26 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $119.93 | 1 |
| Coopervision Inc. | $90.55 | 1 |
What the 2025 payments were for
- Food and Beverage$210.48 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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