Douglas Fredrick Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02529TG Issued in TX

Practice address

5501 B North Ih 35
Austin, TX 78723-2430

Phone

(512) 452-5735

Fax

(512) 452-3119

NPI assigned

Jun 22, 2006

Last updated

Jun 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1976

Medicare assignment

May accept Medicare assignment

Group practices

DRS. Amin, Clark and Associate Optometrists, PAGroup PAC ID 1254376171, 3 clinicians

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group NPD
• DRS. Amin, Clark and Associate Optometrists, PA

  • Optometrist
  • Austin, TX
  • NPI 1962444687
  Medicare reassignment Care Compare group NPD
• Dianne Bui Dao OD PC

  dba Today's Vision

  • Optometrist
  • Pearland, TX
  • NPI 1316159346
  NPD (past)
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Pope Enterprises PLLC

  dba parkwood vision center

  • Optometrist
  • Friendswood, TX
  • NPI 1396927059
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1336185628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 B NORTH IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232430",
            "telephone_number": "512-452-5735",
            "fax_number": "512-452-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 B NORTH IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232430",
            "telephone_number": "512-452-5735",
            "fax_number": "512-452-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DOUGLAS",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02529TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335416-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camille Elaine Clark, LCSW
• Cathryn Clark
• Christopher Sean Clark, LMFT
• Cory J Clark, LPC, LCDC, LMFTA
• Courtney Elizabeth Clark, DPT
• Dynetta Clark, LPC-S, LPC, LMHC
• Edward Clark, LVN, LPN
• Elizabeth Clark, LPC
• Erin Clark, RDN, LDN
• Eva Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.