Individual provider Active NPI

Cooper M Clark, D.O.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1255598488
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P2840 Issued in TX
Practice address
3338 Oakwell CT Ste 205
San Antonio, TX 78218-3088
Phone
(210) 223-5561
Fax
(210) 223-5093
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P2840 TX Primary

Addresses

Primary practice location

3338 Oakwell CT Ste 205
San Antonio, TX 78218-3088

Mailing address

PO Box 4830
Edinburg, TX 78540-4830
Phone (956) 631-8875

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000512 TX Practitioner - Ophthalmology 8628232295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio University, College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of San Antonio 5 clinicians

Practice addresses (Care Compare)

1048 E Blanco Rd
Boerne, TX 78006-2831
Phone (210) 223-5561

1200 Brooklyn Ave
Suite 240
San Antonio, TX 78212-4830
Phone (210) 223-5561

256 Medical Dr
Jourdanton, TX 78026-2401
Phone (210) 223-5561

3338 Oakwell Court
Suite 205
San Antonio, TX 78218-3088

3338 Oakwell CT
Suite 205
San Antonio, TX 78218-3088
Phone (210) 223-5561

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P2840TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of San Antonio Ophthalmology CurrentSince Jan 20, 2015 Accepting new patients

Locations

1048 E Blanco Rd
Boerne, TX 78006
Phone (830) 249-3241

256 Medical Dr
Jourdanton, TX 78026
Phone (830) 769-2480

414 Navarro St
Ste 400
San Antonio, TX 78205
Phone (210) 225-4810

1200 Brooklyn Ave
Ste 240
San Antonio, TX 78212
Phone (210) 225-4511

3338 Oakwell Ct
Ste 205
San Antonio, TX 78218
Phone (210) 656-3070

Interoperability endpoints

  • Direct secure messaging: clark@sanantonio.ecldirect.net

Organizations & group practices 1

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1255598488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4830",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785404830",
            "telephone_number": "956-631-8875",
            "fax_number": "956-682-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 OAKWELL CT STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183088",
            "telephone_number": "210-223-5561",
            "fax_number": "210-223-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "COOPER",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.