DR. LEVI LEE CLYDE (O.D.) – Optometrist, NPI 1073952040

DR. LEVI LEE CLYDE (O.D.) is a healthcare provider. based in Pearland, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8232T (TX). The NPI Number for DR. LEVI LEE CLYDE (O.D.) is 1073952040

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEVI LEE CLYDE (O.D.)
NPI
1073952040
Phone
(713) 814-3937
Address
11601 SHADOW CREEK PKWY STE 111-168
Enumeration Date
22 June 2013
Last Update Date
17 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
7138143937
Graduation Year
2013 (13 years ago)
PAC ID
4183851488
Professional Enrollment ID
I20131212000081
Address ID
TX775112827AL208XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for DR. LEVI LEE CLYDE (O.D.)

  • 11601 SHADOW CREEK PKWY STE 111-168

    PEARLAND, TX 775847283

    Phone: (713) 814-3937

    Fax: (713) 814-3897

    Type: Mailing

  • 208 W COOMBS ST

    ALVIN, TX 775112827

    Phone: (713) 814-3937

    Fax: (713) 814-3897

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131212000081IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina2928$0
99214Established patient office or other outpatient visit, 30-39 minutes1911$0
92004New patient complete exam of visual system1313$0
92014Established patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 77584)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. LEVI LEE CLYDE (O.D.)'s NPI?
Yes. DR. LEVI LEE CLYDE (O.D.) is listed with NPI 1073952040 in the public NPI dataset.
Can I rely on DR. LEVI LEE CLYDE (O.D.) being an active provider?
As of the registry snapshot, DR. LEVI LEE CLYDE (O.D.) is marked active.
What is DR. LEVI LEE CLYDE (O.D.) best known for clinically?
Directory data describes DR. LEVI LEE CLYDE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. LEVI LEE CLYDE (O.D.) serve?
DR. LEVI LEE CLYDE (O.D.)'s listing highlights Pearland, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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