Organization Active NPI

Kirby Eye Associates, O.D., P.L.L.C.

  • Optometrist
  • Greenville, NC
National Provider Identifier
1487677662
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1814 Issued in NC
Legal business name
KIRBY EYE ASSOCIATES, O.D., P.L.L.C.
Practice address
1913 E Fire Tower Rd Ste B
Greenville, NC 27858-4127
Phone
(252) 353-3937
Fax
(252) 353-3931
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Shannon Lee Kirby, O.D.
Title
Owner/Provider
Phone
(252) 353-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1814 NC Primary

Addresses

Primary practice location

1913 E Fire Tower Rd Ste B
Greenville, NC 27858-4127

Mailing address

1913 E Fire Tower Rd Ste B
Greenville, NC 27858-4127
Phone (252) 353-3937

Other identifiers 8

IdentifierTypeStateIssuer
3150770OtherNCCIGNA HEALTHCARE
093E9OtherNCBCBS-NC
NC1814OtherNCEYEMED
89093E9MedicaidNC
189296OtherNCMEDCOST
5507604OtherNCAETNA
5812930001OtherNCCIGNA GOVERNMENT SERVICES
53937OtherDAVIS VISION

National Provider Directory

National Provider Directory

Locations

1913 E Fire Tower Rd
Ste B
Greenville, NC 27858
Phone (252) 353-3937

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1487677662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E FIRE TOWER RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584127",
            "telephone_number": "252-353-3937",
            "fax_number": "252-353-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E FIRE TOWER RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584127",
            "telephone_number": "252-353-3937",
            "fax_number": "252-353-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY EYE ASSOCIATES, O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "252-353-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3150770",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC",
            "identifier": "093E9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NC1814",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093E9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "189296",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5507604",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "5812930001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "53937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.