Dr Douglas Fredrick Clark, OD | |
5501 B North Ih 35, Austin, TX 78723-2430 | |
(512) 452-5735 | |
(512) 452-3119 |
Full Name | Dr Douglas Fredrick Clark |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 48 Years |
Location | 5501 B North Ih 35, Austin, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336185628 | NPI | - | NPPES |
1335416-04 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 02529TG (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr. Clark And Associate Optometrists, P.a. | 1254376171 | 3 |
Provider Name | Dr. Clark & Associate Optometrists, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962444687 PECOS PAC ID: 1254376171 Enrollment ID: O20050622000217 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Fredrick Clark, OD 5501 B North Ih 35, Austin, TX 78723-2430 Ph: (512) 452-5735 | Dr Douglas Fredrick Clark, OD 5501 B North Ih 35, Austin, TX 78723-2430 Ph: (512) 452-5735 |
Briana Michelle Larson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10601 Pecan Park Boulevard, Suite 201, Austin, TX 78750 Phone: 512-401-0400 Fax: 512-401-0403 | |
Austin Family Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1030 Norwood Park Blvd Ste A, Austin, TX 78753 Phone: 512-491-9707 Fax: 512-491-9735 | |
Stephanie Lynn Lechlitner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 360 Nueces St, Suite 70, Austin, TX 78701 Phone: 512-643-2020 | |
Soroush Bahnamiri Azadi, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4211 S Lamar Blvd, Ste E-3, Austin, TX 78704 Phone: 512-916-4600 | |
Dr. Ardith Renee Pagan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11005 Burnet Rd, Suite 120, Austin, TX 78758 Phone: 512-596-2020 Fax: 512-596-3937 | |
Ms. Kathryn Elizabeth Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 E 51st St, Austin, TX 78723 Phone: 512-271-6677 Fax: 512-271-6674 | |
Jennifer Thai, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4301 W William Cannon Dr Ste 210, Austin, TX 78749 Phone: 512-328-0015 |