Individual provider Active NPI

Mackenzie Kai Kirkpatrick, O.D.

  • Optometrist
  • College Station, TX
National Provider Identifier
1730752106
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10226 Issued in TX
Practice address
1500 Harvey Rd Ste 7000
College Station, TX 77840-3761
Phone
(979) 693-7528
Fax
(888) 745-2102
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10226 TX Primary

Addresses

Primary practice location

1500 Harvey Rd Ste 7000
College Station, TX 77840-3761

Mailing address

1500 Harvey Rd Ste 7000
College Station, TX 77840-3761
Phone (979) 693-7528

Other practice location 1

3975 Highway 6 S Ste 900
College Station, TX 77845-6063
Phone (979) 985-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829002159 TX Practitioner - Optometry 5799224192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brazos Valley Eyecare PLLCGroup PAC ID 0547516106, 2 clinicians
Precision Eye Care, PLLCGroup PAC ID 3173617008, 3 clinicians

Practice addresses (Care Compare)

1500 Harvey Rd
Suite 7000
College Station, TX 77840-3761
Phone (979) 693-7528

3975 State Hwy 6 S
Suite 900
College Station, TX 77845-6063
Phone (979) 985-5305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10226TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Eyecare PLLC Optometrist CurrentSince Aug 25, 2024 Accepting new patients
National Vision Inc Optometrist CurrentSince Jul 25, 2021 Accepting new patients
Precision Eye Care, PLLC CurrentSince Mar 27, 2025 Accepting new patients

Locations

3975 State Highway 6 S
Ste 900
College Station, TX 77845
Phone (979) 985-5305

1505 University Dr E
Ste 450
College Station, TX 77840
Phone (979) 431-6053

1500 Harvey Rd
Ste 7000
College Station, TX 77840
Phone (979) 693-7528

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1730752106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HARVEY RD STE 7000",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403761",
            "telephone_number": "979-693-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HARVEY RD STE 7000",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403761",
            "telephone_number": "979-693-7528",
            "fax_number": "888-745-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Highway 6 S Ste 900",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778456063",
            "country_code": "US",
            "telephone_number": "979-985-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "MACKENZIE",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.