Organization Active NPI

Kirby Eye Center, PA

  • Ophthalmology Physician
  • Marble Falls, TX
National Provider Identifier
1700069457
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F3196 Issued in TX
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

Updated by the provider on Mar 19, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 03781TG TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2051831MedicaidTX
097888402MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.