DR. ANDREW CLARK O.D.
NPI 1164447272
Optometrist in Springfield, IL

Q: What is Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1164447272. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Andrew 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 Andrew Clark was last updated on June 12, 2012. 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 July 12, 2006

121 N GRAND AVE W, SPRINGFIELD, IL 62702(217) 528-3233(217) 528-4511 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Andrew Clark O.d. NPPES

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

DR. ANDREW CLARK O.D. (NPI 1164447272) is an individual optometrist in Springfield, Illinois, licensed in Illinois (046007654) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164447272

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ANDREW CLARKCredential: O.D.

Location Address121 N GRAND AVE WSpringfield, IL 62702-2562

Mailing Address121 N Grand Ave WSpringfield, IL 62702-2562 · (217) 528-3233 · Fax (217) 528-4511

Phone(217) 528-3233

Fax(217) 528-4511

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateJune 12, 2012

✔ NPI 1164447272 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 IL · 046007654

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.

121 N GRAND AVE W, Springfield, IL 62702

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Other Identifiers 1

Medicare NSC0762010001IL

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

82%270 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

DR. TIMOTHY EDWARDS O.D.

Optometrist