Individual
DR. TIMOTHY R KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22350 NOVI RD, NOVI, MI 48375-4708
(248) 347-7800
Mailing address
PO BOX 208177, DALLAS, TX 75320-8177
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383145055
TAX ID
MI
01
—
900F365750
BCBS PROVIDER CODE
MI
Enumeration date
01/24/2007
Last updated
05/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us