Kirks Eye Center, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03342 Issued in MO

Legal business name

KIRKS EYE CENTER, PC

Practice address

108 Brevco PLZ
Lake St Louis, MO 63367-1399

Phone

(636) 561-6000

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Matthew Kirks, O.D.NPI 1346242377

Title

Optometrist

Phone

(636) 561-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: shussey@kirkseyecenter.eyefinity-direct.com
• Direct secure messaging: jkirks@kirkseyecenter.eyefinity-direct.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Matthew Kirks, O.D.

  • Optometrist
  • Lake Saint Louis, MO
  • NPI 1346242377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1225295363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BREVCO PLZ",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671399",
            "telephone_number": "636-561-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BREVCO PLZ",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671399",
            "telephone_number": "636-561-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKS EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "KIRKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "636-561-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318844016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Kelly
• Lindsay Kilwin
• Kimberly C Berni MD LLC
• Kinetic PT LLC
• Heather Lynn Kinsey, M.S.,CCC-SLP
• Marissa Kistner, M.ED., LPC
• Kathleen M. Kloeckner, ANP-BC
• Michelle J. Koerner, MED, LPC
• Melvin Eugene Kottwitz, RPH
• Tia L Kraemer, MA, LPC

• Optometrist in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.