Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter William Kishbaugh, OD

Individual provider Optometrist · NPI 1265326342

Dr. Peter William Kishbaugh, OD is an Optometry in Richardson, Texas. Graduated from University of Houston - College of Optometry in 2025, 1 year ago. Practices with Jw Eye Associates, PLLC, a 35-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Trained at
University of Houston - College of Optometry
Licensed in
TX
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3021 E Renner Rd Ste 100
Richardson, TX 75082-3579
Phone: (972) 771-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11420 (TX)

Record details

NPI number1265326342
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address11442 N Central Expy, Dallas, TX 75243-6602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Jw Eye Associates, Pllc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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