Organization Active NPI

Lisa Kirkland OD PC

Doing business as Bright Eyes Vision Care

  • Primary Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1053585943
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
VUT005701 Issued in NY
Legal business name
LISA KIRKLAND OD PC
Doing business as
Bright Eyes Vision Care
Practice address
12221A Guy R Brewer Blvd
Jamaica, NY 11434-2406
Phone
(718) 527-0550
Fax
(718) 527-0546
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa T Kirkland, O.D.NPI 1104801802
Title
Director
Phone
(718) 527-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X VUT005701 NY Primary

Addresses

Primary practice location

12221A Guy R Brewer Blvd
Jamaica, NY 11434-2406

Mailing address

830 Elice PL
Baldwin, NY 11510-3903
Phone (917) 209-3713

Other identifiers 1

IdentifierTypeStateIssuer
01608319MedicaidNY

Other names 1

  • BRIGHT EYES VISION CARE Doing business as

National Provider Directory

National Provider Directory

Locations

17805 Hillside Ave
Jamaica, NY 11432
Phone (718) 657-0050

12221A Guy R Brewer Blvd
Jamaica, NY 11434
Phone (610) 772-5321

12221 Guy R Brewer Blvd
Jamaica, NY 11434
Phone (718) 527-0550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1053585943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ELICE PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103903",
            "telephone_number": "917-209-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221A GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342406",
            "telephone_number": "718-527-0550",
            "fax_number": "718-527-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KIRKLAND OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-527-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "VUT005701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01608319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT EYES VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIGHT EYES VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.