Active NPI
Bruce W Kirkland, O. D.
- Optometrist
- Austin, TX
National Provider Identifier
1174610661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2287T
- Practice address
- 4970 W Highway 290
Austin, TX 78735-6748 - Phone
- (512) 899-9744
- Fax
- (512) 358-8769
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2287T | TX | Primary |
Addresses
Primary practice location
4970 W Highway 290
Austin, TX 78735-6748
Mailing address
1801 Westlake Dr Apt 109
West Lake Hills, TX 78746-3721
Phone (512) 940-7298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2287T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1174610661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WESTLAKE DR APT 109",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787463721",
"telephone_number": "512-940-7298",
"fax_number": "512-358-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4970 W HIGHWAY 290",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787356748",
"telephone_number": "512-899-9744",
"fax_number": "512-358-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLAND",
"first_name": "BRUCE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2287T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.