Kelvin Mark Van Voorst, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6563TG Issued in TX

Practice address

110 North Preston Road
Suite 30
Prosper, TX 75078-8794

Phone

(972) 347-2004

Fax

(972) 347-3847

NPI assigned

Jul 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 15, 2021 through Dec 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dallas Optometric Center of Dr. D. Gary Thomas and Associates

  • Optometrist
  • Sherman, TX
  • NPI 1235344524
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396764882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NORTH PRESTON ROAD",
            "address_2": "SUITE 30",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788794",
            "telephone_number": "972-347-2004",
            "fax_number": "972-347-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH PRESTON ROAD",
            "address_2": "SUITE 30",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788794",
            "telephone_number": "972-347-2004",
            "fax_number": "972-347-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VOORST",
        "first_name": "KELVIN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6563TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Vladimirovna Usherenko, DDS
• Duygu Derya Uzun, MD
• Valor Pain & Wellness
• Jill Renee Van Dyke, LPC-A
• Aubry Elyse Van Noy, MPAS, PA-C
• Stacie Anne Van Voorst, O.D.
• Angela Marie Vandersmitte, APRN, FNP-C
• Variabilities, LLC
• Karina Guadalupe Velazquez
• Dirk B Verbrugghe, MD

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.