Individual provider Active NPI

Abagail Marie Kirk, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1982266342
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000003577 Issued in TN
Practice address
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone
(901) 685-2200
Fax
(901) 682-9711
NPI assigned
Jul 5, 2019
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000003577 TN Primary

Addresses

Primary practice location

825 Ridge Lake Blvd
Memphis, TN 38120-9411

Mailing address

PO Box 22510
Jackson, MS 39225-2510
Phone (901) 685-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200616000527 TN Practitioner - Optometry 8325460686 Reassigns benefits to 1 organization
I20200811002203 MS Practitioner - Optometry 8325460686 Reassigns benefits to 1 organization
I20210806000760 AR Practitioner - Optometry 8325460686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VRF Eye Specialty Group, PLCGroup PAC ID 2264328723, 16 clinicians

Practice addresses (Care Compare)

7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200

825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
86.03
Improvement activities
40
Cost
74.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1023MSMDMental Health Counselor
3577TNMDProfessional Counselor
OD0000003577TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
VRF Eye Specialty Group, PLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
VRF Eye Specialty Group, PLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Long Island Gastroenterology and Liver Disease P.C. Past Accepting new patients

Locations

1000 Windover Rd
Ste C
Jonesboro, AR 72401
Phone (870) 972-6040

800 Professional Acres Dr
Jonesboro, AR 72401
Phone (870) 333-1087

325C N Sebastian
West Helena, AR 72390
Phone (870) 572-7886

412 Central Ave
Coldwater, MS 38618
Phone (662) 622-5173

6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300

7600 Airways Blvd
Ste F
Southaven, MS 38671
Phone (662) 349-5901

391 Southcrest Cir
Ste 108
Southaven, MS 38671
Phone (662) 349-0910

1458 W Poplar Ave
Ste 101
Collierville, TN 38017

825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150

Interoperability endpoints

  • Direct secure messaging: drkirk@esg.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1982266342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22510",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252510",
            "telephone_number": "901-685-2200",
            "fax_number": "901-255-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209411",
            "telephone_number": "901-685-2200",
            "fax_number": "901-682-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ABAGAIL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000003577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.