Individual provider Active NPI

Patrick Alan Clark, OD

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1164048591
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10036 Issued in TX
Practice address
266 Landa St Ste 100
New Braunfels, TX 78130-8061
Phone
(956) 256-5879
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10036 TX Primary

Addresses

Primary practice location

266 Landa St Ste 100
New Braunfels, TX 78130-8061

Mailing address

202 N Mitchell St
Rio Grande City, TX 78582-2509
Phone (956) 256-5879

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805000473 TX Practitioner - Optometry 3971907452 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Henry a Hull Optometrist, IncGroup PAC ID 0547335358, 5 clinicians

Practice addresses (Care Compare)

266 Landa St
Suite 100
New Braunfels, TX 78130-8061
Phone (830) 625-5716

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
87.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10036TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Henry a Hull Optometrist, Inc Optometrist CurrentSince May 8, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients
Kyle Vision PLLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Jacob Family Eye Care PLLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

5581 Kyle Center Dr
Ste 101
Kyle, TX 78640
Phone (512) 268-7600

1001 W San Antonio St
Lockhart, TX 78644
Phone (512) 398-4024

6442 FM 306
Ste 1103
New Braunfels, TX 78132
Phone (830) 625-5716

266 Landa St
Ste 100
New Braunfels, TX 78130
Phone (512) 625-5716

147 Fredericksburg Rd
New Braunfels, TX 78130
Phone (830) 625-5716

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1164048591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N MITCHELL ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785822509",
            "telephone_number": "956-256-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANDA ST STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781308061",
            "telephone_number": "956-256-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PATRICK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.