Organization Active NPI

Clark Family Eye Care, PLLC

Doing business as Frisco In Focus

  • Optometrist
  • Frisco, TX
National Provider Identifier
1720507312
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6066TG Issued in TX
Legal business name
CLARK FAMILY EYE CARE, PLLC
Doing business as
Frisco In Focus
Practice address
11511 Independence Parkway
Suite 102
Frisco, TX 75035
Phone
(972) 478-0500
NPI assigned
Sep 14, 2017
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Kari Clark, ODNPI 1366434623
Title
Owner/Optometrist
Phone
(972) 478-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6066TG TX Primary

Addresses

Primary practice location

11511 Independence Parkway
Suite 102
Frisco, TX 75035

Mailing address

11511 Independence Pkwy Ste 102
Frisco, TX 75035-4676
Phone (972) 478-0550

Other names 1

  • Frisco In Focus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171227000090 TX Part B Supplier - Clinic/Group Practice 6305104225 Receives reassigned benefits from 3 practitioners
Practice locations: Frisco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2241169Clark Family Eye Care, PLLC11511 Independence Pkwy Suite 102, Frisco, TX 75035Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

11511 Independence Pkwy
Ste 102
Frisco, TX 75035
Phone (214) 551-5386

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1720507312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 INDEPENDENCE PKWY STE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354676",
            "telephone_number": "972-478-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 INDEPENDENCE PARKWAY",
            "address_2": "SUITE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-478-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "972-478-0550",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6066TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisco In Focus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.