Lisa Kirkland, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005701 Issued in NY

Practice address

12221 Guy R Brewer Blvd # a
Jamaica, NY 11434-2406

Phone

(718) 527-0550

Fax

(718) 527-0546

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1316014103
  Medicare reassignment NPD
• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1124396874
  NPD
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1154498053
  NPD (past)
• Evan David Opticians

  • Eyewear Supplier
  • Woodhaven, NY
  • NPI 1093770463
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1104801802",
    "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": "12221 GUY R BREWER BLVD # A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342406",
            "telephone_number": "718-527-0550",
            "fax_number": "718-527-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01608319",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkirkland@brighteyesvisioncare.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12221 Guy R Brewer Blvd # A",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114342406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Lucia King, FNP
• Donovan King, PA
• Erin King, PSY.D.
• Lillian King, PHARM.D.
• Chander Kiran, MD
• Paulette Kirlew
• Randi Kirschner, M.A.
• Surendra Kissoon, MD
• Davis Tensley Kitchens II, L.M.H.C.
• Jean Kittelberger Joyce, PAC

• Optometrist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.