Individual provider Active NPI

Alanna Kirk, OD

  • Optometrist
  • Mount Orab, OH
National Provider Identifier
1124432562
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006292 Issued in OH
Practice address
112 Glover Dr
Mount Orab, OH 45154-8390
Phone
(937) 444-2525
Fax
(937) 444-4077
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T3208 OH
Optometrist 152W00000X 1957DT KY
Optometrist 152W00000X OPT.006292 OH Primary

Addresses

Primary practice location

112 Glover Dr
Mount Orab, OH 45154-8390

Mailing address

112 Glover Dr
Mount Orab, OH 45154-8390
Phone (937) 444-2525

Other practice location 1

10566 Loveland Madeira Rd
Loveland, OH 45140-8962
Phone (513) 683-3791

Other practice location 2

8118 Montgomery Rd
Cincinnati, OH 45236-2935
Phone (513) 891-9030

Other practice location 3

7437 Wooster Pike
Cincinnati, OH 45227-3895
Phone (513) 561-7704

Other practice location 4

1064 State Route 28
Milford, OH 45150-4940
Phone (513) 831-3166

Other practice location 5

1360 Medical Park Dr
Maysville, KY 41056-9621
Phone (606) 759-5341

Other practice location 6

3600 E US 22 and 3
Morrow, OH 45152-9688
Phone (513) 899-2015

Other practice location 7

8548 Beechmont Ave
Cincinnati, OH 45255-4708
Phone (513) 474-0122

Other identifiers 2

IdentifierTypeStateIssuer
1957DTOtherKYCERTIFICATION
T3208OtherOHCERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220627003189 OH Practitioner - Optometry 5698992816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

112 Glover Dr
Mount Orab, OH 45154-8390
Phone (937) 444-2525

1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020

8118 Montgomery Rd
Cincinnati, OH 45236-2935
Phone (513) 891-9030

Hospital & facility affiliations

  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1957DTKYMDOptometrist
OPT.006292OHMDOptometrist
T3208OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
20-20 Eyecare PSC Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alannakirk@direct.eyecare-partners.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1124432562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GLOVER DR",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548390",
            "telephone_number": "937-444-2525",
            "fax_number": "937-483-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GLOVER DR",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548390",
            "telephone_number": "937-444-2525",
            "fax_number": "937-444-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10566 Loveland Madeira Rd",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451408962",
            "country_code": "US",
            "telephone_number": "513-683-3791",
            "fax_number": "513-683-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362935",
            "country_code": "US",
            "telephone_number": "513-891-9030",
            "fax_number": "513-891-8049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7437 Wooster Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452273895",
            "country_code": "US",
            "telephone_number": "513-561-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451504940",
            "country_code": "US",
            "telephone_number": "513-831-3166",
            "fax_number": "513-831-2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410569621",
            "country_code": "US",
            "telephone_number": "606-759-5341",
            "fax_number": "606-759-7393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 E US 22 and 3",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "OH",
            "postal_code": "451529688",
            "country_code": "US",
            "telephone_number": "513-899-2015",
            "fax_number": "513-899-4628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8548 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452554708",
            "country_code": "US",
            "telephone_number": "513-474-0122",
            "fax_number": "513-474-1376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ALANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T3208",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1957DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "1957DT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "T3208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

Verify at the official NPI Registry.