Kirks, James Matthew
Kirks, James Matthew is an individual health care provider with primary practice located at 108 Brevco Plz , Lake Saint Louis MO 63367-1399. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kirks, James Matthew can be contacted via phone (636) 561-6000.Contact Information
Primary practice address
108 Brevco Plz
Lake Saint Louis MO 63367-1399
Phone: (636) 561-6000
Fax: (636) 625-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO3342 | Missouri |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | TO3342 | Missouri |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | TO3342 | Missouri |
Profile Details
| NPI number | 1346242377 |
|---|---|
| LBN Legal business name | Kirks, James Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Sep 8th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346242377 | NPPES |
| Missouri | MEDICAID | 318844016 |
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