Active NPI
Lisa Kirkland OD PC
Doing business as Bright Eyes Vision Care
- Primary Care Clinic/Center
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- VUT005701
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01608319 | Medicaid | NY |
Other names 1
- BRIGHT EYES VISION CARE
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Jamaica, NY
- NPI 1104801802
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.