Gerald P Clarke, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

U9495 Issued in TX

Practice address

3410 Far West Blvd Ste 140
Austin, TX 78731-3167

Phone

(512) 427-1100

Fax

(512) 427-1207

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic of Austin PLLCGroup PAC ID 1951558121, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eye Clinic of Austin PLLC

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1023363926
  Medicare reassignment Care Compare group NPD
• Eye Clinic of Austin PLLC Thomas Henderson Sole MBR

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1053403543
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1104988955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "GERALD",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U9495",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "21638-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30380600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consuelo Venegas Clarke, APRN
• Dave F Clarke, MD
• Emily Lynn Clarke, MD
• Erica Clarke
• Ewa T Clarke, HC
• Samantha Louise Clarke, LCSW
• Shannon Clarke
• Terry Clarke, LCDC
• Tomasina Christina Clarke, RBT
• Amy Keiller Clarkson, CPNP-AC

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.