Dr Timothy R Kirk, OD | |
22350 Novi Rd, Novi, MI 48375-4708 | |
(248) 347-7800 | |
Not Available |
Full Name | Dr Timothy R Kirk |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 22350 Novi Rd, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578618047 | NPI | - | NPPES |
900F365750 | Other | MI | BCBS PROVIDER CODE |
383145055 | Other | MI | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003020 (Michigan) | Primary |
Provider Name | Timothy R Kirk Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598952483 PECOS PAC ID: 0648228874 Enrollment ID: O20050105000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy R Kirk, OD Po Box 208177, Dallas, TX 75320-8177 Ph: (636) 200-4393 | Dr Timothy R Kirk, OD 22350 Novi Rd, Novi, MI 48375-4708 Ph: (248) 347-7800 |
Caroline J Sippala, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27380 Novi Rd, Novi, MI 48377 Phone: 248-344-1044 | |
Austin Ayad Kashat, OD Optometrist Medicare: Medicare Enrolled Practice Location: 47300 W 10 Mile Rd, Novi, MI 48374 Phone: 248-782-2777 Fax: 248-782-2999 | |
Clearview Eyecare, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45075 W Pontiac Trl, Novi, MI 48377 Phone: 248-960-5600 Fax: 248-960-8049 | |
Rimsha Zaman Choudhry, OD Optometrist Medicare: Medicare Enrolled Practice Location: 26425 Novi Rd Ste D, Novi, MI 48375 Phone: 248-344-1426 Fax: 248-344-1530 | |
Dr. Reeta Raina, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27838 Novi Rd, Novi, MI 48377 Phone: 248-348-2900 Fax: 248-344-0908 | |
Zeinab S Zreik, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27793 Novi Rd, Novi, MI 48377 Phone: 248-697-5621 | |
Carolyn Louise Easter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27380 Novi Rd, Novi, MI 48377 Phone: 248-344-1044 |