Active NPI
Veurmer Clark, O.D.
- Optometrist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3876TG
- Practice address
- 6446 Lyndon B Johnson Fwy
Dallas, TX 75240-6407 - Phone
- (972) 960-2020
- Fax
- (972) 960-2063
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3876TG | TX | Primary |
Addresses
Primary practice location
6446 Lyndon B Johnson Fwy
Dallas, TX 75240-6407
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- Veurmer Clark-Edwards
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3405 Midway Rd
Suite 421
Plano, TX 75093-8144
Phone (972) 807-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3876TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Past | Accepting new patients |
Locations
400 N 15th St
Corsicana, TX 75110
Phone (903) 229-4141
6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020
11888 Marsh Ln
Ste 114
Dallas, TX 75234
Phone (972) 241-8084
3405 Midway Rd
Ste 421
Plano, TX 75093
Phone (972) 801-2727
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1467589176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6446 LYNDON B JOHNSON FWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406407",
"telephone_number": "972-960-2020",
"fax_number": "972-960-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "VEURMER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3876TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VEURMER",
"last_name": "CLARK-EDWARDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.