DR. DWIGHT EUGENE CLARK O.D.
NPI 1043321169
Optometrist in Rancho Cordova, CA

Q: What is Dwight Clark's NPI number?

The NPI number for Dwight Clark is 1043321169. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Dwight Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dwight Clark was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 31, 2006PECOS Enrolled

11216 TRINITY RIVER DRIVE, RANCHO CORDOVA, CA 95670(916) 635-6161(916) 631-3788 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dwight Eugene Clark O.d. NPPES

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

DR. DWIGHT EUGENE CLARK O.D. (NPI 1043321169) is an individual optometrist in Rancho Cordova, California, licensed in California (5512) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043321169

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DWIGHT EUGENE CLARKCredential: O.D.

Location Address11216 TRINITY RIVER DRIVERancho Cordova, CA 95670

Mailing Address11216 Trinity River DriveRancho Cordova, CA 95670 · (916) 635-6161 · Fax (916) 631-3788

Phone(916) 635-6161

Fax(916) 631-3788

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 28, 2011

✔ NPI 1043321169 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 CA · 5512

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.

11216 TRINITY RIVER DRIVE, Rancho Cordova, CA 95670

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Other Identifiers 2

MedicaidSD0055120CA

Medicare PINSD0055120CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dwight Eugene Clark O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95670 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dwight Clark's NPI number?

The NPI number for Dwight Clark is 1043321169. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Dwight Clark located?

Dwight Clark practices at 11216 Trinity River Drive, Rancho Cordova, CA 95670. The listed phone number is (916) 635-6161.

What is Dwight Clark's specialty?

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

Is Dwight Clark enrolled in Medicare?

Yes. Dwight Clark is registered in the Medicare PECOS enrollment system.

What insurance does Dwight Clark accept?

Health plans from Providence Health Plan list Dwight Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dwight Clark was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.