Kirk Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00638600 Issued in NJ

Legal business name

KIRK OPTOMETRY, LLC

Practice address

442 Lacey Rd
#3
Forked River, NJ 08731-2436

Phone

(609) 242-4205

Fax

(609) 242-4206

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tara Joanne Weisbeck Kirk, O.D.NPI 1831321884

Title

Owner

Phone

(609) 242-4205

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Joanne Weisbeck Kirk, OD

  • Optometrist
  • Forked River, NJ
  • NPI 1831321884
  NPD Authorized official

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1891197984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LACEY RD",
            "address_2": "#3",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312436",
            "telephone_number": "609-242-4205",
            "fax_number": "609-242-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 LACEY RD",
            "address_2": "#3",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312436",
            "telephone_number": "609-242-4205",
            "fax_number": "609-242-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JOANNE WEISBECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-242-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00638600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Keyes, DMD
• Issam Joseph Khammar, DDS
• King Sleep Center
• Cynthia Virginia King, D.C.
• King'S Mindfulness Center
• James Kirk, D.C.
• Michael John Kirk Sr., DC
• Tara Joanne Weisbeck Kirk, OD
• Kyla Kleban, DC
• Jessica Kolk, M.S., CCC-SLP

• Optometrist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.