Active NPI
Clyde Verl Allred, M.D.
- Ophthalmology Physician
- Nederland, TX
National Provider Identifier
1356379101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- GO935
- Practice address
- 612 So. Twin City Hwy
Nederland, TX 77627 - Phone
- (409) 724-0794
- Fax
- (409) 724-7821
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | GO935 | TX | Primary |
Addresses
Primary practice location
612 So. Twin City Hwy
Nederland, TX 77627
Mailing address
PO Box 1306
Nederland, TX 77627
Phone (409) 724-0794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GO935 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356379101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1306",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "77627",
"telephone_number": "409-724-0794",
"fax_number": "409-724-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 SO. TWIN CITY HWY",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "77627",
"telephone_number": "409-724-0794",
"fax_number": "409-724-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "CLYDE",
"middle_name": "VERL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "GO935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nederland, TX
- Albert W Lyon MD PA
- Albritton & Gomez Dental Associates, PLLC
- Albritton Dental Associates
- Alliance Physicians Group of Texas, PLLC
- Allied Physicians Group of Texas, P.L.L.C.
- Alpha Omega Health Management Services, LLC
- Kennetha Alvarez, FNP-C
- Nisha Amin, PHD
- Anbap Wellness LLC (Optimum Medical Weight Control and Family Wellness)
- Anbap Wellness LLC (Optimum Medical Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.