Organization Active NPI

Kirscht Optometry PLLC

  • Optometrist
  • Allen, TX
National Provider Identifier
1598429466
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KIRSCHT OPTOMETRY PLLC
Practice address
1255 W Exchange Pkwy Ste 130
Allen, TX 75013-7112
Phone
(469) 250-2021
Fax
(469) 250-2017
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Eude A Ossorio, CREDENTIALING MANAGE
Title
Credentialing Manager
Phone
(662) 510-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1255 W Exchange Pkwy Ste 130
Allen, TX 75013-7112

Mailing address

1255 W Exchange Pkwy Ste 130
Allen, TX 75013-7112
Phone (469) 250-2021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405001046 TX Part B Supplier - Clinic/Group Practice 8527458926 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

1255 W Exchange Pkwy
Ste 1
Allen, TX 75013
Phone (469) 250-2021

1255 W Exchange Pkwy
Ste 130
Allen, TX 75013
Phone (469) 250-2021

Practitioners & affiliated clinicians

Practitioners 2

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": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1598429466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W EXCHANGE PKWY STE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137112",
            "telephone_number": "469-250-2021",
            "fax_number": "469-250-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W EXCHANGE PKWY STE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137112",
            "telephone_number": "469-250-2021",
            "fax_number": "469-250-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSCHT OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "OSSORIO",
        "authorized_official_first_name": "EUDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "662-510-2941",
        "authorized_official_credential": "CREDENTIALING MANAGE"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.