Active NPI
Kirby Eye Center, PA
- Ophthalmology Physician
- Marble Falls, TX
National Provider Identifier
1700069457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F3196
- Legal business name
- KIRBY EYE CENTER, PA
- Practice address
- 204 Gateway N
Suite a
Marble Falls, TX 78654-6361 - Phone
- (830) 693-3787
- Fax
- (830) 693-4086
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Helen Geraldine Kirby
- Title
- Administrator
- Phone
- (830) 693-5868
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 03781TG | TX | |
| Ophthalmology Physician | 207W00000X | F3196 | TX | Primary |
Addresses
Primary practice location
204 Gateway N
Suite a
Marble Falls, TX 78654-6361
Mailing address
204 Gateway N
Suite a
Marble Falls, TX 78654-6361
Phone (830) 693-3787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2051831 | Medicaid | TX | |
| 097888402 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
204 Gateway N
Ste A
Marble Falls, TX 78654
Phone (830) 693-3787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268956800000",
"number": "1700069457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 GATEWAY N",
"address_2": "SUITE A",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786546361",
"telephone_number": "830-693-3787",
"fax_number": "830-693-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 GATEWAY N",
"address_2": "SUITE A",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786546361",
"telephone_number": "830-693-3787",
"fax_number": "830-693-4086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRBY EYE CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2010-03-19",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "HELEN",
"authorized_official_middle_name": "GERALDINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "830-693-5868",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "03781TG",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "F3196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2051831",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097888402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.