DR. LORI J CLARK O.D.
NPI 1073575213
Optometrist in Manhattan Beach, CA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
1145 MANHATTAN AVE, MANHATTAN BEACH, CA 90266(310) 546-4618(310) 546-9268 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lori J Clark O.d. NPPES

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

DR. LORI J CLARK O.D. (NPI 1073575213) is an individual optometrist in Manhattan Beach, California, licensed in California (OP8950T) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1998).

NPPES Registry Identity

NPI1073575213
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LORI J CLARKCredential: O.D.
Location Address1145 MANHATTAN AVEManhattan Beach, CA 90266-5333
Mailing Address1145 Manhattan AveManhattan Beach, CA 90266-5333 · (310) 546-4618 · Fax (310) 546-9268
Fax(310) 546-9268
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1998
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 19, 2012
NPI 1073575213 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 · OP8950T
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.

1145 MANHATTAN AVE, Manhattan Beach, CA 90266

Other Identifiers 2

Medicare PINFU012ACA
MedicaidSD0089501CA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lori J Clark O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214195635
PECOS Enrollment IDI20120214000875
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
65 services65 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
59 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90266 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

Optometrist
1145 MANHATTAN AVE
MANHATTAN BEACH, CA 90266
Optometrist (Corneal and Contact Management)
1145 MANHATTAN AVE
MANHATTAN BEACH, CA 90266

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 Lori Clark's NPI number?

The NPI number for Lori Clark is 1073575213. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Lori Clark located?

Lori Clark practices at 1145 Manhattan Ave, Manhattan Beach, CA 90266. The listed phone number is (310) 546-4618.

What is Lori Clark's specialty?

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

Is Lori Clark enrolled in Medicare?

Yes. Lori Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lori Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Lori 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 Lori Clark was last updated on November 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.