Peter William Kishbaugh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11420 Issued in TX

Practice address

3021 E Renner Rd Ste 100
Richardson, TX 75082-3579

Phone

(972) 771-2020

NPI assigned

Jun 4, 2025

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkishbaugh@kwec.intellechartdirect.net

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

• JW Eye Associates, PLLC

  dba Key Whitman Eye Center

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1285679803

  Optometrist

  Medicare reassignment Care Compare group NPD
• JW Eye Associates, PLLC

  dba Key-Whitman Eye Center

  • Ophthalmology Physician
  • Rockwall, TX
  • NPI 1467927897
  NPD
• JW Eye Associates, PLLC

  dba Key-Whitman Eye Center Greenville

  • Ophthalmology Physician
  • Greenville, TX
  • NPI 1518849728

  Optometrist

  NPD
• JW Eye Associates, PLLC

  dba Key-Whitman Eye Center

  • Optometrist
  • Mesquite, TX
  • NPI 1376947796
  NPD (past)

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1265326342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436602",
            "telephone_number": "214-220-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 E RENNER RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823579",
            "telephone_number": "972-771-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHBAUGH",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith J Kirk, M.S., CCC-SLP
• Kirkland Clinical Associates
• Kirkland Clinical Associates LLC
• Daniel James Kirkland, LPC-S, RPT-S
• Kirmal Masih-Joseph DDS PC
• Sheryl Ann Kissner, LCSW
• Kite Dental PLLC (Brilliant Dental)
• Adam Joseph Klaff, PA-C
• Stephany K Klein, RPH, PD
• Stephen Kleine, LPC-ASSOCIATE, LCDC

• Optometrist in Richardson, TX
• Providers in Richardson, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.