Individual provider Active NPI

Joseph Kirgis, OD

  • Optometrist
  • Lebanon, NH
National Provider Identifier
1962086546
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1040 Issued in NH
Practice address
410 Miracle Mile Ste 13
Lebanon, NH 03766-2639
Phone
(603) 448-2575
NPI assigned
May 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1040 NH Primary

Addresses

Primary practice location

410 Miracle Mile Ste 13
Lebanon, NH 03766-2639

Mailing address

5706 Fordham St Apt a
Lubbock, TX 79416-3615

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
I20240521003409 TX Practitioner - Optometry 3173926524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamm David EyecareGroup PAC ID 0244491272, 3 clinicians

Practice addresses (Care Compare)

3542 Loop
306 BLDG a
San Angelo, TX 76904-2265
Phone (325) 653-0118

Merit-based Incentive Payment System (MIPS)

Final score
95.14 of 100Reported as group
Quality
90.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lamm David Eyecare Optometrist CurrentSince May 27, 2024 Accepting new patients

Locations

3542 Loop 306
Bldg A
San Angelo, TX 76904
Phone (325) 653-0118

Organizations & group practices 1

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1962086546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 FORDHAM ST APT A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE STE 13",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662639",
            "telephone_number": "603-448-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRGIS",
        "first_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.