Kelvin Van Voorst, OD and Stacie Houghtalen, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6563TG Issued in TX

Legal business name

KELVIN VAN VOORST, OD AND STACIE HOUGHTALEN, OD, PA

Doing business as

Prosper Family Eyecare

Practice address

110 North Preston Road
Suite 30
Prosper, TX 75078-8794

Phone

(972) 347-2004

Fax

(972) 347-3847

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelvin Mark Van Voorst, O.D.

Title

President

Phone

(972) 347-2004

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Prosper Family Eyecare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083798342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NORTH PRESTON ROAD",
            "address_2": "SUITE 30",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788794",
            "telephone_number": "972-347-2004",
            "fax_number": "972-347-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH PRESTON ROAD",
            "address_2": "SUITE 30",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788794",
            "telephone_number": "972-347-2004",
            "fax_number": "972-347-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN VAN VOORST, OD AND STACIE HOUGHTALEN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN VOORST",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-347-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6563TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6554TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-STACIE VAN VOORST, OD",
            "identifier": "1255350740",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-KELVIN VAN VOORST, OD",
            "identifier": "1396764882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Leigh Kang
• Yashashri Karanjkar
• Yetunde Olabosipo Kare-Opaneye, MD
• Kristie Marie Keeling, LPC
• Kassie Keller, LPC ASSOCIATE
• Sydney Kerbow
• Addelyn Key
• Grace Khaleghipour, MA, BCBA
• Ibrahim Khalil
• Nick Khalilkhani, D.D.S. M.S.

• Optometrist in Prosper, TX
• Providers in Prosper, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.