CLARK OPTOMETRIC CENTER OF SC, P.A.
NPI 1063981900
Optometrist in Simpsonville, SC
About Clark Optometric Center Of Sc, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK OPTOMETRIC CENTER OF SC, P.A. (NPI 1063981900), doing business as Triangle Visions Optometry, is a healthcare organization registered as an optometrist in Simpsonville, South Carolina and active in the NPI registry since November 2018. The organization maintains 2 additional practice locations and lists Anthony R Clark, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Optometric Center Of Sc, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Clark Optometric Center Of Sc, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clark Optometric Center Of Sc, P.A.'s NPI number?
The NPI number for Clark Optometric Center Of Sc, P.A. is 1063981900. It was assigned to this organization in the NPPES registry on November 21, 2018. The provider is doing business as Triangle Visions Optometry.
Where is Clark Optometric Center Of Sc, P.A. located?
Clark Optometric Center Of Sc, P.A. is located at 419 SE Main St Ste 300, Simpsonville, SC 29681. The listed phone number is (864) 417-2345.
What is Clark Optometric Center Of Sc, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Clark Optometric Center Of Sc, P.A. enrolled in Medicare?
Yes. Clark Optometric Center Of Sc, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Optometric Center Of Sc, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians, all in Optometry, reassign their Medicare billing to Clark Optometric Center Of Sc, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clark Optometric Center Of Sc, P.A. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Clark Optometric Center Of Sc, P.A. 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 Clark Optometric Center Of Sc, P.A. was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Clark Optometric Center Of Sc, P.a. · NPI 1063981900
Optometrist organization in Simpsonville, South Carolina. Organization record, active in the CMS NPPES registry since November 21, 2018.
## Identity
- **NPI:** 1063981900 (Entity type: Organization)
- **Enumerated:** November 21, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Triangle Visions Optometry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Anthony Clark, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 419 SE MAIN ST STE 300, Simpsonville, SC 29681-2676
- **Phone:** (864) 417-2345 · **Fax:** (864) 399-4519
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063981900) · Data from the CMS NPPES public registry.