Individual provider Active NPI

Kyra Lija Ferrigan, OD

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1396775359
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5328TG Issued in TX
Practice address
1900 SE 34TH Ave
Suite 250
Amarillo, TX 79118-7771
Phone
(806) 331-6150
Fax
(806) 410-0567
NPI assigned
Jul 4, 2006
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5328TG TX Primary

Addresses

Primary practice location

1900 SE 34TH Ave
Suite 250
Amarillo, TX 79118-7771

Mailing address

11000 CCC Loop
Canyon, TX 79015-5619
Phone (806) 382-3961

Other identifiers 2

IdentifierTypeStateIssuer
81345QOtherTXBCBS
132372101OtherTXFIRSTCARE/SOUTHWEST

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050304000056 TX Practitioner - Optometry 5395799191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Plus LLPGroup PAC ID 4284736307, 5 clinicians

Practice addresses (Care Compare)

5221 S Coulter St
Amarillo, TX 79119-6676
Phone (806) 358-3594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5328TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Plus LLP Optometrist CurrentSince Sep 16, 2024 Accepting new patients
Lucas Haney, O.D., P.a. Optometrist Past Accepting new patients
Martin Road Eye Care Inc Optometrist PastSince Oct 3, 2011 Accepting new patients
Kyra L. Ferrigan, O.D. PA Optometrist Past Accepting new patients

Locations

5221 S Coulter St
Amarillo, TX 79119
Phone (806) 358-3594

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1396775359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 CCC LOOP",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790155619",
            "telephone_number": "806-382-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVE",
            "address_2": "SUITE 250",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791187771",
            "telephone_number": "806-331-6150",
            "fax_number": "806-410-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIGAN",
        "first_name": "KYRA",
        "middle_name": "LIJA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5328TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81345Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE/SOUTHWEST",
            "identifier": "132372101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.