Provider Demographics
NPI:1174610661
Name:KIRKLAND, BRUCE W (O D)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:W
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:O D
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Mailing Address - Street 1:1801 WESTLAKE DR APT 109
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3721
Mailing Address - Country:US
Mailing Address - Phone:512-940-7298
Mailing Address - Fax:512-358-8769
Practice Address - Street 1:4970 W HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6748
Practice Address - Country:US
Practice Address - Phone:512-899-9744
Practice Address - Fax:512-358-8769
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2013-05-21
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Provider Licenses
StateLicense IDTaxonomies
TX2287T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist