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DR. LISA KIRKLAND O.D.
NPI 1104801802
Optometrist in Jamaica, NY

Active since December 14, 2005PECOS Enrolled
12221 GUY R BREWER BLVD # A, JAMAICA, NY 11434(718) 527-0550(718) 527-0546 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 26, 2022, Dec 20, 2016 (2 updates tracked since 2016).

About Dr. Lisa Kirkland O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA KIRKLAND O.D. (NPI 1104801802) is an individual optometrist in Jamaica, New York, licensed in New York (VUT005701) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104801802
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA KIRKLANDCredential: O.D.
Location Address12221 GUY R BREWER BLVD # AJamaica, NY 11434-2406
Mailing Address830 Elice PlBaldwin, NY 11510-3903 · (917) 209-3713
Phone(718) 527-0550
Fax(718) 527-0546
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateDecember 26, 20222 updates tracked since enumeration
NPPES CertifiedDecember 25, 2022
✔ NPI 1104801802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · VUT005701
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12221 GUY R BREWER BLVD # A, Jamaica, NY 11434
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Other Identifiers 1

Medicaid01608319NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Kirkland O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Kirkland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Healthcare Network, Inc.
2.0 mi
Federally Qualified Health Center (FQHC)
97-02 SUTPHIN BLVD
Jamaica, NY 11435
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1184791923 (718) 657-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kirkland's NPI number?

The NPI number for Lisa Kirkland is 1104801802. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Lisa Kirkland located?

Lisa Kirkland practices at 12221 Guy R Brewer Blvd # A, Jamaica, NY 11434. The listed phone number is (718) 527-0550.

What is Lisa Kirkland's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lisa Kirkland enrolled in Medicare?

Yes. Lisa Kirkland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Kirkland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kirkland reassigns Medicare benefits to Community Healthcare Network, Inc. (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Kirkland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Kirkland accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Lisa Kirkland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Kirkland was last updated on December 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.