Provider Demographics
NPI:1801102041
Name:DOYLE, KRISTIN E (OD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:E
Last Name:DOYLE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:E
Other - Last Name:STOKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1286 N PALM AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-5604
Mailing Address - Country:US
Mailing Address - Phone:941-275-0055
Mailing Address - Fax:
Practice Address - Street 1:1286 N PALM AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5604
Practice Address - Country:US
Practice Address - Phone:941-365-5606
Practice Address - Fax:941-366-5682
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4526152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1908EOtherBCBS
FLDP618ZMedicare PIN