MEDICARE: ALANNA KIRK OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	T3208	OH
2	152W00000X	Optometrist	1957DT	KY
3	152W00000X	Optometrist	OPT.006292	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1957DT	OTHER	KY	CERTIFICATION
2	T3208	OTHER	OH	CERTIFICATION

General Provider Information

NPI Number	:	1124432562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANNA KIRK OD

Provider Business Mailing Address
First Line	:	112 GLOVER DR
Second Line	:
City	:	MOUNT ORAB
State	:	OH
Zip	:	45154-8390
Country	:	US
Telephone Number	:	937-444-2525
Fax Number	:	937-483-5230

Provider Business Practice Location Address
First Line	:	112 GLOVER DR
Second Line	:
City	:	MOUNT ORAB
State	:	OH
Zip	:	45154-8390
Country	:	US
Telephone Number	:	937-444-2525
Fax Number	:	937-444-4077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	05/02/2023

Similar Medicare Providers

1073580155 — MS. JENNIFER E LUTZ MPT
Practice Location Address:

108 GLOVER DR
MOUNT ORAB, OH
45154-8390

Practice Phone: 937-444-2933
Practice Fax: 937-444-2924

1356383707 — EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

108 GLOVER DR
MOUNT ORAB, OH
45154-8390

Practice Phone: 937-444-2933
Practice Fax: 937-444-2924

1447446851 — KAREN ELIZABETH KOENIG PT
Practice Location Address:

108 GLOVER DR
MOUNT ORAB, OH
45154-8390

Practice Phone: 937-444-2933
Practice Fax: 537-444-2924

1316267628 — REBECCA MAE WHITE DPT
Practice Location Address:

108 GLOVER DR
MOUNT ORAB, OH
45154-8390

Practice Phone: 937-444-2933
Practice Fax: 937-444-2924

1871054825 — JUSTIN CASE GILLETTE OD
Practice Location Address:

112 GLOVER DR
MOUNT ORAB, OH
45154-8390

Practice Phone: 937-444-2525
Practice Fax:

1427609759 — LORI SUE WALLACE FNP-BC
Practice Location Address:

150 HEALTH PARTNERS CIR
MOUNT ORAB, OH
45154-8610

Practice Phone: 937-444-2514
Practice Fax: 937-444-4818

Directions to “ ALANNA KIRK OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.