Individual provider Active NPI

Karl Brandon Czirr, O.D.

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1427007152
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3567TX Issued in WA
Practice address
4309 W 27TH PL
Suite 102
Kennewick, WA 99338-2904
Phone
(509) 737-2010
Fax
(509) 737-2012
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3567TX WA Primary
Corneal and Contact Management Optometrist 152WC0802X 3567TX WA
Pediatric Optometrist 152WP0200X 3567TX WA
Sports Vision Optometrist 152WS0006X 3567TX WA

Addresses

Primary practice location

4309 W 27TH PL
Suite 102
Kennewick, WA 99338-2904

Mailing address

2459 S Union PL Ste 120
Kennewick, WA 99338
Phone (509) 737-2010

Other identifiers 1

IdentifierTypeStateIssuer
912051509OtherWAEMPLOYER IDENTIFICATION #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070123000557 WA Practitioner - Optometry 8426041591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2459 S Union St
Suite 120
Kennewick, WA 99338-2271
Phone (509) 737-2010

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3567TXWAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonview Family Eye Care LLC Optometrist CurrentSince Jun 1, 2000 Accepting new patients

Locations

2459 S Union Pl
Ste 120
Kennewick, WA 99338

2459 S Un St
Ste 120
Kennewick, WA 99338
Phone (509) 737-2010

4309 W 27th Pl
Ste 102
Kennewick, WA 99338
Phone (509) 737-2010

9 E Valley Mall Blvd
Union Gap, WA 98903
Phone (509) 469-4874

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1427007152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 S UNION PL STE 120",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-737-2010",
            "fax_number": "509-591-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PL",
            "address_2": "SUITE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382904",
            "telephone_number": "509-737-2010",
            "fax_number": "509-737-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZIRR",
        "first_name": "KARL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3567TX",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "3567TX",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "3567TX",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "WA",
            "license": "3567TX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION #",
            "identifier": "912051509",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.