Lisa Kirkland OD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

VUT005701 Issued in NY

Legal business name

LISA KIRKLAND OD PC

Practice address

12221A Guy R Brewer Blvd
Jamaica, NY 11434-2406

Phone

(718) 527-0550

Fax

(718) 527-0546

NPI assigned

Dec 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Kirkland, OD

Title

Director

Phone

(718) 527-0550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRIGHT EYES VISION CARE Doing business as

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1962947838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ELICE PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103903",
            "telephone_number": "917-209-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221A GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342406",
            "telephone_number": "718-527-0550",
            "fax_number": "718-527-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KIRKLAND OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-527-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "VUT005701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01608319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT EYES VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIGHT EYES VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Linton, LMSW
• Arifa Lipi
• Saliha Lipi
• Alexandra Galbut Lipshitz, M.A. CCC SLP
• Lisa Kirkland OD PC
• Patricia Lissade, LCSW
• Lite Touch Mobile Phlebotomy Service LLC
• Oscar Liu
• Pamela Liu, D.D.S.
• Stephanie Naying Liu

• Primary Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.