DR. KEVIN LANDIS CLARK (NPI# 1891859278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891859278 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LANDIS CLARK |
| Credential | O.D. |
| Practice Address |
10415 Gateway Blvd W El Paso TX 79925-7905 |
| Mailing Address |
11604 Coleen Way El Paso TX 79936-6922 |
| Practice Telephone | 9155926885 |
| Practice Fax Number | 9155954059 |
| Mailing Telephone | 9155936205 |
| Mailing Fax Number | 9155928868 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4070T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294001 | Kevin John Clark | Chiropractor | 2815 83rd St, Darien, IL 60561-1660 | 2017-06-08 |
| 1124402516 | Kevin Michael Clark | Dentist | 8 Inwood Peak, San Antonio, TX 78248-1654 | 2015-07-15 |
| 1275976276 | Kevin P Clark | Pharmacist | 215 Sixth Street, Hotchkiss, CO 81419-0928 | 2013-04-10 |
| 1265736508 | Kevin Clark | Acupuncturist | 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 | 2010-12-30 |
| 1033361381 | Kevin Dewitt Clark | Acupuncturist | 130 N Dixie Hwy, Hollywood, FL 33020-6704 | 2008-10-17 |
| 1609934397 | Kevin John Clark | Counselor | 251 E 5th St, Brooklyn, NY 11218-2403 | 2006-12-05 |
| 1912947144 | Kevin Grafton Clark | Optometrist | 5310 Highway 25, Suite 5, Flowood, MS 39232-6148 | 2006-06-07 |
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1497376958 | Kevin P. Clark Sr. | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2020-05-06 |
| 1245851104 | Kevin Clark | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2020-05-01 |
| Street Address |
10415 GATEWAY BLVD W |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972901916 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2014-12-08 |
| 1972894723 | El Paso Eyeworks PC | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2011-04-27 |
| 1689717704 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 10415 Gateway Blvd W, Yarbrough Plaza, El Paso, TX 79925-7905 | 2007-02-15 |
| 1023167491 | Nancy Ann Semko | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471739 | Shriya Ruparel | Optometrist | 10961 Gateway Blvd W Ste 300, El Paso, TX 79935-4923 | 2019-08-09 |
| 1780237883 | El Paso West Eyecare & Contact Lens Center PC | Optometrist | 655 Sunland Park Dr Ste E1b, El Paso, TX 79912-5168 | 2019-07-18 |
| 1073171443 | Sky View Optometry Pllc | Optometrist | 2260 N Zaragoza Rd Ste A114, El Paso, TX 79938-8123 | 2019-05-31 |
| 1497256309 | Daniel & Max, LLC | Optometrist | 725 Sunland Park Dr # 225, El Paso, TX 79912-6701 | 2018-02-26 |
| 1538670252 | James Anthony Twitchell | Optometrist | 4913 Stampede Dr, El Paso, TX 79934-3370 | 2017-10-20 |
| 1982127973 | Roberto Farid Fournier | Optometrist | 8889 Gateway Blvd W Ste 1010, El Paso, TX 79925-6542 | 2017-07-21 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1679906127 | Syndy Jane Maynard | Optometrist | 8889 Gateway Blvd W, Suite 1010, El Paso, TX 79925-6537 | 2013-08-19 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1932411121 | Matthew Ryan Selby | Optometrist | 1796 N Zaragoza Rd, El Paso, TX 79936-7909 | 2010-07-05 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.