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Active NPI 1265326342 Individual Practitioner Male Practitioner

Dr. Peter William Kishbaugh , OD

Optometrist • Richardson, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kishbaugh, OD is a certified Optometrist practicing in Richardson, TX. With approximately 1 years of clinical experience since graduating from University Of Houston - College Of Optometry in 2025, Dr. Kishbaugh delivers high-quality medical care to the local community at 3021 E RENNER RD STE 100.

Dr. Kishbaugh is affiliated with Jw Eye Associates, Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3021 E Renner Rd Ste 100

Richardson, TX 750823579

Telephone 9727712020
Associated Practice Facility / Clinic
🏢 Edward P Hurst Md Pa Facility NPI 1770686982

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Richardson, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -14.4 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Richardson, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kishbaugh (1 Years) 1 Yrs
Richardson Specialty Average (15.4 Years) 15.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-06
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 11420

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Jw Eye Associates, Pllc

3021 E Renner Rd, Richardson, TX 750823579

Phone: 2147540000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1164501714

Doctor of Optometry

NPI 1720014756

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2025

Registered at 3021 E RENNER RD STE 100, RICHARDSON, TX 750823579 (Tel: 9727712020)

📍
Updated Business Mailing Address June 06, 2025

Registered at 11442 N CENTRAL EXPY, DALLAS, TX 752436602 (Tel: 2142203937)

👤
Provider Name / Credentials Updated June 06, 2025

Recorded as PETER KISHBAUGH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2025

Optometrist (License #11420 in TX)

🟢
Initial NPI Registration & Enumeration June 04, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265326342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2025
Last Update: June 06, 2025
Sole Proprietor: No

Mailing Address

11442 N Central Expy

Dallas, TX 752436602

Phone: 2142203937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.