Thomas Eugene Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2902 Issued in MN

Practice address

1715 S Broadway St
New Ulm, MN 56073-3751

Phone

(507) 354-8531

Fax

(507) 359-1124

NPI assigned

Sep 23, 2005

Last updated

Feb 27, 2015By 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 6

Medicare fee-for-service enrollment

Enrolled in MN

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

Pacific University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Akre and Clark LTDGroup PAC ID 5698762714, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as group

Quality

0

Improvement activities

40

Procedures performed for Medicare patients

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.

• DRS. Akre & Clark, LTD.

  • Optometrist
  • New Ulm, MN
  • NPI 1326031287
  Medicare reassignment Care Compare group NPD Authorized official
• DRS. Akre & Clark, LTD.

  • Optometrist
  • Springfield, MN
  • NPI 1376180109
  NPD (past) Authorized official
• DRS. Akre and Simpson, LTD

  • Durable Medical Equipment & Medical Supplies
  • New Ulm, MN
  • NPI 1851467427
  NPD (past) Authorized official
• DRS. Akre & Clark, LTD.

  dba Drs. Akre & Clark

  • Optometrist
  • Waseca, MN
  • NPI 1558099101
  NPD
• Professional Eyecare Centers, PLLC

  • Optometrist
  • Jamestown, ND
  • NPI 1699866244
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1427044692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733751",
            "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": "1715 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733751",
            "telephone_number": "507-354-8531",
            "fax_number": "507-359-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "THOMAS",
        "middle_name": "EUGENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1034694",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202087",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747652300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD MN",
            "identifier": "241M0CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP38790",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "171829",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayvin Eilene Carlson
• Veronica Carus, DT
• Adeline Choge, RN
• Mimi Marie Chough, LMFT
• Katie Christina Christianson, LPCC
• Coborns Inc (Cash Wise Pharmacy)
• Zachary Michael Cole
• Daryn Clifford Collins, M.D., M.P.H.
• Compass Behavioral Health PLLC
• Eileen Connal

• Optometrist in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.