DR. KELVIN MARK VAN VOORST O.D.
NPI 1396764882
Optometrist in Prosper, TX

Q: What is Kelvin Van Voorst's NPI number?

The NPI number for Kelvin Van Voorst is 1396764882. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Kelvin Van Voorst's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: Is Kelvin Van Voorst enrolled in Medicare?

No. Kelvin Van Voorst has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelvin Van Voorst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2006Opted out of Medicare · through Dec 15, 2027

110 NORTH PRESTON ROAD, SUITE 30, PROSPER, TX 75078(972) 347-2004(972) 347-3847 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelvin Mark Van Voorst O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELVIN MARK VAN VOORST O.D. (NPI 1396764882) is an individual optometrist in Prosper, Texas, licensed in Texas (6563TG) and active in the NPI registry since July 2006. He has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1396764882

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KELVIN MARK VAN VOORSTCredential: O.D.

Location Address110 NORTH PRESTON ROAD, SUITE 30Prosper, TX 75078-8794

Mailing Address110 North Preston Road, Suite 30Prosper, TX 75078-8794 · (972) 347-2004 · Fax (972) 347-3847

Phone(972) 347-2004

Fax(972) 347-3847

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396764882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 6563TG

Definition

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.

110 NORTH PRESTON ROAD, Prosper, TX 75078

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Other Identifiers 2

Medicare ID-Type Unspecified8F1942TX · Provider Number

Medicare UPINV02131TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelvin Mark Van Voorst O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2021 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2021

Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELVIN VAN VOORST, OD AND STACIE HOUGHTALEN, OD, PA

Optometrist

110 NORTH PRESTON ROAD, SUITE 30
PROSPER, TX 75078

Collin County (972) 347-2004

DR. STACIE ANNE VAN VOORST O.D.

Optometrist

110 NORTH PRESTON ROAD, SUITE 30
PROSPER, TX 75078

Collin County (972) 347-2004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelvin Van Voorst's NPI number?

The NPI number for Kelvin Van Voorst is 1396764882. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Kelvin Van Voorst located?

Kelvin Van Voorst practices at 110 North Preston Road Suite 30, Prosper, TX 75078. The listed phone number is (972) 347-2004.

What is Kelvin Van Voorst's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelvin Van Voorst enrolled in Medicare?

No. Kelvin Van Voorst has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelvin Van Voorst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.