DONALD R CLARK O.D.
NPI 1124121124
Optometrist in Dublin, GA

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
94.34/100
CMS Quality Rating
2032 VETERANS BLVD, SUITE A, DUBLIN, GA 31021(478) 272-3445(478) 272-4802 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2018, Nov 16, 2017 (2 updates tracked since 2017).

About Donald R Clark O.d. NPPES

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

DONALD R CLARK O.D. (NPI 1124121124) is an individual optometrist in Dublin, Georgia, licensed in Georgia (OPT001315) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1992).

NPPES Registry Identity

NPI1124121124
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDONALD R CLARKCredential: O.D.
Location Address2032 VETERANS BLVD, SUITE ADublin, GA 31021-3042
Mailing Address1950 Old Gallows Rd, Suite 520Vienna, VA 22182-3990 · (703) 847-8899 · Fax (703) 991-0514
Fax(478) 272-4802
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1992
Enumeration DateSeptember 6, 2006
Last NPPES UpdateFebruary 15, 20182 updates tracked since enumeration
NPI 1124121124 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 GA · OPT001315
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.
2032 VETERANS BLVD, Dublin, GA 31021

Other Identifiers 1

Medicaid000583107FGA

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

Donald R 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 ID941463665
PECOS Enrollment IDI20120516000517
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 10

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.

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.
122 services102 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.
74 services73 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
66 services66 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
52 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services40 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost81.15

Other Providers at the Same Location NPPES 3

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

Optometrist
2032 VETERANS BLVD
DUBLIN, GA 31021
Optometrist
2032 VETERANS BLVD, SUTE A
DUBLIN, GA 31021
Optometrist
2032 VETERANS BLVD
DUBLIN, GA 31021

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 Donald Clark's NPI number?

The NPI number for Donald Clark is 1124121124. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Donald Clark located?

Donald Clark practices at 2032 Veterans Blvd Suite A, Dublin, GA 31021. The listed phone number is (478) 272-3445.

What is Donald Clark's specialty?

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

Is Donald Clark enrolled in Medicare?

Yes. Donald 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 Donald Clark accept?

Health plans from Alliant Health Plans, Inc. list Donald 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 Donald Clark was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.