Individual provider Active NPI

Kirk L. Leclear, O.D.

  • Corneal and Contact Management Optometrist
  • College Station, TX
National Provider Identifier
1396784716
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2847-T Issued in TX
Practice address
4075 State Highway 6 S Ste 100
College Station, TX 77845-8963
Phone
(979) 690-0888
Fax
(796) 900-0869
NPI assigned
Jun 5, 2006
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2847-T TX Primary

Addresses

Primary practice location

4075 State Highway 6 S Ste 100
College Station, TX 77845-8963

Mailing address

4075 State Highway 6 S Ste 100
College Station, TX 77845-8963
Phone (979) 690-0888

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902001228 TX Practitioner - Optometry 1254303951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urban Optics PLLCGroup PAC ID 7012156656, 3 clinicians

Practice addresses (Care Compare)

4075 State Hwy 6 S
Suite 100
College Station, TX 77845-8963
Phone (979) 690-0888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Vista Eyecare Corneal and Contact Management CurrentSince Apr 2, 2024 Accepting new patients
Urban Optics, PLLC CurrentSince Nov 11, 2023 Accepting new patients
JMC Worldwide PLLC Corneal and Contact Management CurrentSince Sep 25, 2022 Accepting new patients
East End Eye Care PLLC PastSince Oct 1, 2015 Accepting new patients
Physician's Eye Center, PSC Past Accepting new patients

Locations

4075 State Highway 6 S
#100
College Station, TX 77845
Phone (979) 690-0888

4081 State Highway 6 S
Ste 301
College Station, TX 77845
Phone (979) 690-0888

19792 Highway 105 W
Ste 300
Montgomery, TX 77356
Phone (936) 220-4313

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1396784716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 STATE HIGHWAY 6 S STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458963",
            "telephone_number": "979-690-0888",
            "fax_number": "979-690-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 STATE HIGHWAY 6 S STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458963",
            "telephone_number": "979-690-0888",
            "fax_number": "796-900-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLEAR",
        "first_name": "KIRK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2847-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.