Renee Michelle Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9064 Issued in TX

Practice address

2609 W Trenton Rd
Edinburg, TX 78539-3432

Phone

(956) 686-9777

NPI assigned

Aug 8, 2012

Last updated

Feb 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parul S Desai MD PAGroup PAC ID 8628024874, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmclark@directaddress.net

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.

• Parul S Desai MD PA

  dba McAllen Retina Center

  • Ophthalmology Physician
  • Edinburg, TX
  • NPI 1558451260
  Medicare reassignment Care Compare group NPD
• Jacob J Moore MD PA

  dba Coastal Bend Eye Center

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1982844858

  Optometrist

  Medicare reassignment NPD
• Coastal Bend Ambulatory Surgical Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
  • NPI 1689695959
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1548517667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393432",
            "telephone_number": "956-686-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393432",
            "telephone_number": "956-686-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Griffin Pkwy Ste 12",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723072",
            "country_code": "US",
            "telephone_number": "956-686-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4701",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Friends Home Care LLC
• Emma Maria Cisneros, DO
• Perla Patricia Cisneros
• Priscilla Lizarraga Cisneros, LPC- ASSOCIATE
• Yvette Cisneros, APRN-CNP
• Cletus Onyiorah, M.D., P.a. (Abc Pediatrics)
• Theresa Adelaida Clinton, AGACNP-BC
• Melissa Kay Closner, RPH, PHARM D
• Sharon Closner, OT
• Amanda Van-Phung Co

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.