NPIMap

Organization Active NPI

Kirk Eye LLC

Doing business as Central Utah Eye

  • Ophthalmologic Surgery Clinic/Center
  • Richfield, UT
National Provider Identifier
1427677095
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
KIRK EYE LLC
Doing business as
Central Utah Eye
Practice address
41 S 100 E Ste J
Richfield, UT 84701-2691
Phone
(435) 287-0563
Fax
(435) 208-0564
NPI assigned
Apr 13, 2020
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Kevin Kirk, MDNPI 1750791182
Title
Owner
Phone
(435) 287-0563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

41 S 100 E Ste J
Richfield, UT 84701-2691

Mailing address

PO Box 338
Richfield, UT 84701-0338
Phone (435) 287-0563

Other names 1

  • Central Utah Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520003340 UT Part B Supplier - Clinic/Group Practice 6709217052 Receives reassigned benefits from 5 practitioners
Practice locations: Richfield, UT

National Provider Directory

National Provider Directory

Locations

727 N 50 E
Ephraim, UT 84627

120 E 200 N
Richfield, UT 84701
Phone (435) 896-2020

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1427677095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847010338",
            "telephone_number": "435-287-0563",
            "fax_number": "435-287-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S 100 E STE J",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012691",
            "telephone_number": "435-287-0563",
            "fax_number": "435-208-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-287-0563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Utah Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Utah Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.