Robert Wayne Kirkpatrick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001749 Issued in IN

Practice address

2580 Michigan Rd
Ste 2
Madison, IN 47250-2423

Phone

(812) 265-6222

Fax

(812) 265-2955

NPI assigned

Aug 11, 2006

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IN

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

Interoperability endpoints

• Direct secure messaging: robert.kirkpatrick@direct.revolutionehr.com

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.

• Lisle Family Eye Care Inc

  • Optometrist
  • North Vernon, IN
  • NPI 1518904655
  Medicare reassignment NPD
• Robert W. Kirkpatrick

  dba Kirkpatrick Eye Care

  • Optometrist
  • Madison, IN
  • NPI 1346330537
  Authorized official Same address or phone
• Lisle Family Eye Care Inc

  dba The Eye Care Group

  • Optometrist
  • Seymour, IN
  • NPI 1053973438
  NPD
• Lisle Family Eye Care Inc

  dba Eye Care Group

  • Optometrist
  • Vevay, IN
  • NPI 1417348525
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1265443634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 MICHIGAN RD",
            "address_2": "STE 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502423",
            "telephone_number": "812-265-6222",
            "fax_number": "812-265-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 MICHIGAN RD",
            "address_2": "STE 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502423",
            "telephone_number": "812-265-6222",
            "fax_number": "812-265-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "351957465050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000042676",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "005398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148580",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMXPR0070032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Kennedy, D.D.S.
• Kevin L. Klinedinst DDS PC
• Magdy W Khalil, M.D.
• A Nicole Kilburn, MSSW
• Heather R Kindoll
• Kevin L Klinedinst, D.D.S.
• Richard R. Kortokrax, D.D.S.
• Karma A Kristufek, PA-C
• Kroger Limited Partnership I (Kroger Pharmacy)
• Willem J Kruger, D.O.

• Optometrist in Madison, IN
• Providers in Madison, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.