Active NPI
DRS. Akre & Clark, LTD.
- Optometrist
- Springfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS. AKRE & CLARK, LTD.
- Practice address
- 623 W Rock St
Springfield, MN 56087-1028 - Phone
- (507) 354-8531
- NPI assigned
- Nov 27, 2019
- Last updated
- Apr 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Eugene Clark, OD
- Title
- President
- Phone
- (507) 354-8531
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
623 W Rock St
Springfield, MN 56087-1028
Mailing address
PO Box 727
New Ulm, MN 56073-0727
Phone (507) 354-8531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 484301100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191220002175 | MN | DME Supplier - Physician - Optometrist | 5698762714 | Practice locations: Springfield, MN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2168991 | DRS Akre & Clark | Certificate of waiver | Jul 12, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| DRS. Akre and Clark, LTD | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- DRS Akre Clark LTD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- New Ulm, MN
- NPI 1326031287
-
- Durable Medical Equipment & Medical Supplies
- New Ulm, MN
- NPI 1851467427
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- New Ulm, MN
- NPI 1427044692
-
- Optometrist
- Northfield, MN
- NPI 1942939897
-
- Optometrist
- Fort Morgan, CO
- NPI 1083509467
-
- Optometrist
- New Ulm, MN
- NPI 1881680056
-
- Optometrist
- Northfield, MN
- NPI 1053798637
-
- Optometrist
- Blue Earth, MN
- NPI 1568811040
-
- Optometrist
- Waseca, MN
- NPI 1437206679
-
- Optometrist
- New Ulm, MN
- NPI 1386843456
-
- Optometrist
- New Ulm, MN
- NPI 1366970998
-
- Optometrist
- Battle Creek, MI
- NPI 1770142739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1376180109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "NEW ULM",
"state": "MN",
"postal_code": "560730727",
"telephone_number": "507-354-8531",
"fax_number": "507-359-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 W ROCK ST",
"city": "SPRINGFIELD",
"state": "MN",
"postal_code": "560871028",
"telephone_number": "507-354-8531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. AKRE & CLARK, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-27",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-354-8531",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "484301100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.