Ronald D Kirk O D Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RONALD D KIRK O D INC.

Practice address

46 N Main St
Blanding, UT 84511-2830

Phone

(435) 678-2324

Fax

(435) 678-3344

NPI assigned

May 7, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Dean Kirk, ODNPI 1780623595

Title

Owner

Phone

(435) 678-2324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Kirk, OD

  • Optometrist
  • Blanding, UT
  • NPI 1780623595
  Authorized official Same address or phone

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326214503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N MAIN ST",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845112830",
            "telephone_number": "435-678-2324",
            "fax_number": "435-678-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N MAIN ST",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845112830",
            "telephone_number": "435-678-2324",
            "fax_number": "435-678-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D KIRK O D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-678-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521929262017",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dar Quealy
• Jennifer Redd, CSW
• Amber Reed
• Katelinn Moneek Reed
• Remedy Plus LLC
• Yikanee Bah Sampson, RN, CDE
• San Juan County Hospital (Blanding Clinic)
• San Juan Mental Health-Substance Abuse Special Service District (San Juan Counseling)
• San Juan Mental Health-Substance Abuse SSD
• San Juan Pharmacy Inc (San Juan Pharmacy)

• Optometrist in Blanding, UT
• Providers in Blanding, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.