Organization
KIRBY'S OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD E. KIRBY MD (OWNER)
(830) 693-3787
Entity
Organization
Contact information
Practice address
204 GATEWAY N, SUITE C, MARBLE FALLS, TX 78654-6361
(830) 693-3787
(830) 798-8012
Mailing address
204 GATEWAY N, SUITE C, MARBLE FALLS, TX 78654-6361
(830) 693-3787
(830) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205881001
—
TX
Enumeration date
04/16/2009
Last updated
12/30/2009
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