NPI 1104801802

Lisa Kirkland, OD

Practitioner Optometrist Jamaica, NY

Practice location

Address: 12221 Guy R Brewer Blvd # a, Jamaica, NY 11434-2406
Phone: (718) 527-0550
Fax: (718) 527-0546
Mailing address: 830 Elice Pl, Baldwin, NY 11510-3903

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence VUT005701 (NY)

Other Optometrist providers in New York →

Registry record

NPI: 1104801802
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2005
Record last updated: 26 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.