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General NPI Number Information
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NPI Number | 1548215346
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Entity Type | Organization
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Legal Business Name | SUMMIT EYE CENTER PC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3650 E 15TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-8701
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Country | US
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Telephone | 970-669-1107
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Fax | 970-669-8849
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Provider Business Mailing Address
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Address Line | 3650 E 15TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-8701
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Country | US
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Telephone | 970-669-1107
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Fax | 970-669-8849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN D KIRK
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Credential | M.D. FACS
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Telephone | 970-669-1107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 99143599
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 99143599
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 28606
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 28606
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License Number State | CO
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