NPIMap

Organization Active NPI

Timothy R Kirk OD PC

Doing business as Town & Country Eyecare

  • Optometrist
  • Novi, MI
National Provider Identifier
1598952483
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003020 Issued in MI
Legal business name
TIMOTHY R KIRK OD PC
Doing business as
Town & Country Eyecare
Practice address
22350 Novi Rd
Novi, MI 48375-4708
Phone
(248) 347-7800
Fax
(248) 347-7801
NPI assigned
Sep 25, 2007
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Timothy R Kirk, O.D.NPI 1578618047
Title
President/Owner
Phone
(248) 347-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003020 MI Primary

Addresses

Primary practice location

22350 Novi Rd
Novi, MI 48375-4708

Mailing address

23850 Hickory Grove LN
Novi, MI 48375-3162
Phone (248) 347-7800

Other identifiers 5

IdentifierTypeStateIssuer
ON61480OtherMEDICARE SUPPLIES DMERC
4901003852OtherMIOD LICENSE
900F310020OtherMIBCBS ID
4901003020OtherMIOD LICENSE
900F365750OtherMIBCBS ID

Other names 1

  • Town & Country Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

22350 Novi Rd
Novi, MI 48375
Phone (248) 347-7800

Practitioners & affiliated clinicians

Practitioners 1

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1598952483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 HICKORY GROVE LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753162",
            "telephone_number": "248-347-7800",
            "fax_number": "248-347-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22350 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754708",
            "telephone_number": "248-347-7800",
            "fax_number": "248-347-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R KIRK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-347-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIES DMERC",
            "identifier": "ON61480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "4901003852",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "900F310020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "4901003020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "900F365750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town & Country Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.