Dr. Lisa Kirkland, O.D.
Optometrist in Jamaica, NY. Individual provider (NPI-1).
NPI number1104801802
StatusActive
Last updated in NPPESDec 26, 2022
Details
- NPI
- 1104801802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Kirkland
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2005
- Certification date
- Dec 25, 2022
- Last updated
- Dec 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | VUT005701 | NY | Yes |
Practice location
12221 Guy R Brewer Blvd # AJamaica, NY 11434-2406
Phone 718-527-0550 · Fax 718-527-0546
Mailing address
830 Elice PlBaldwin, NY 11510-3903
Phone 917-209-3713
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 46 Optometrist providers in Jamaica · All 6,245 providers in Jamaica
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