Active NPI
Kathryn K Clair, O.D.
- Optometrist
- Shenandoah, TX
National Provider Identifier
1063662716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7321T
- Practice address
- 22 Delmar Green PL
Shenandoah, TX 77381-2994 - Phone
- (918) 822-0272
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7321T | TX | Primary |
Addresses
Primary practice location
22 Delmar Green PL
Shenandoah, TX 77381-2994
Mailing address
22 Delmar Green PL
Shenandoah, TX 77381-2994
Phone (918) 822-0272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7321 | TX | MD | Professional Counselor |
| 7321T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doreck Vision, LLC | Optometrist | Current | Accepting new patients |
| Wagnertc P C | Optometrist | Past | Accepting new patients |
Locations
12709 Interstate 45 N
Ste 500
Willis, TX 77318
Phone (936) 856-9400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Willis, TX
- NPI 1952655649
-
- Optometrist
- The Woodlands, TX
- NPI 1750576435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1063662716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DELMAR GREEN PL",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773812994",
"telephone_number": "918-822-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 DELMAR GREEN PL",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773812994",
"telephone_number": "918-822-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIR",
"first_name": "KATHRYN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7321T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.