Doctor Name: | DR. JAMES MATTHEW KIRKS |
NPI Number: | 1346242377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | TO3342 |
Business Practice Address: | 108 Brevco Plz Lake Saint Louis, MO - 633671399 |
Business Phone Number: | 6365616000 |
Business Fax Number: | 6366250707 |
Mailing Address: | 108 Brevco Plz, LAKE SAINT LOUIS |
State: | MO |
Postal Code: | 633671399 |
Phone Number: | 6365616000 |
Fax Number: | 6366250707 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 09/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | TO3342 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |