IndividualActive
Ronald Kirk, OD
NPI 1780623595 · Optometrist · Blanding, UT
Provider details
- NPI number
- 1780623595
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 112805-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
910 S 300 W
Blanding, UT 84511-3921
Phone: (435) 678-2324
Fax: (435) 678-3344
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Montezuma Creek, UT 84534-0130
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.