Kirk Optometry, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OEG002194 Issued in PA

Legal business name

KIRK OPTOMETRY, LLC

Doing business as

Tara Kirk, OD

Practice address

2899 Whiteford Rd
Boscov'S Optical Department
York, PA 17402-8902

Phone

(717) 755-4395

Fax

(717) 757-2350

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tara Joanne Weisbeck Kirk, O.D.NPI 1831321884

Title

Owner

Phone

(804) 301-1969

Specialties & licenses 1

Addresses

Other names 1

• Tara Kirk, OD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Joanne Weisbeck Kirk, OD

  • Optometrist
  • Forked River, NJ
  • NPI 1831321884
  NPD Authorized official

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1508165242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 CREEKSIDE LN",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175436813",
            "telephone_number": "804-301-1969",
            "fax_number": "717-757-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 WHITEFORD RD",
            "address_2": "BOSCOV'S OPTICAL DEPARTMENT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028902",
            "telephone_number": "717-755-4395",
            "fax_number": "717-757-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JOANNE WEISBECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-301-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "OEG002194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tara Kirk, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Kinney
• Ann Kint, CRNP
• James Edward Kirby, MD
• John Stephen Kirby, LCSW
• Inna N Kireenkov, RDH
• Abbigail Lerae Kirsch, MOT
• Laura Ann Kise, PHD
• Aubree Lynn Kitner, PTA
• Jennifer Victoria Klahold, MSW, LSW
• Bruce David Klaskin, D.O.

• Clinic/Center in York, PA
• Providers in York, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.