DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIRK JUSTIN KOOGLER, OD

Active Sole Proprietor

Optometrist · SOUTHLAKE, TX

Registration Details

NPI Number
1255323952
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2005 (20.676305164508 yrs)
Last Updated
May 16, 2022
License
5135TG (TX)
Sole Proprietor
Yes

Practice Information

Address
510 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX, 760926579
Browse TX providers · Browse ZIP 76092
Phone
8174811665
Fax
8173297613
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in SOUTHLAKE, TX

Name Credential NPI
WALLACE R RYNE O.D. 1164421319
MRS. CASEY N HOLDRIDGE O.D. 1457350605
DR. LISA BISHOP OD 1437150448
DR. GREGORY B KLOESEL O.D. 1962404665
DR. PETER JOSEPH ZANELLA JR. OD 1962464446
DR. TAYLOR ROBERTSON BROOKS O.D. 1942232608
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.