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DR. RICHARD CLARK
NPI 1184477085
Optometrist in Long Beach, MS

Active since April 09, 2024PECOS Enrolled
202 E RAILROAD ST, LONG BEACH, MS 39560(228) 686-2020 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2024, Apr 9, 2024 (2 updates tracked since 2024).

About Dr. Richard Clark NPPES

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

DR. RICHARD CLARK (NPI 1184477085) is an individual optometrist in Long Beach, Mississippi, licensed in Mississippi (1096) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2024).

NPPES Registry Identity

NPI1184477085
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD CLARK
Location Address202 E RAILROAD STLong Beach, MS 39560-4627
Mailing Address5121 Mitchell RdLong Beach, MS 39560-3201 · (228) 229-6875
Phone(228) 686-2020
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2024
Enumeration DateApril 9, 2024
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1184477085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 1096
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
202 E RAILROAD ST, Long Beach, MS 39560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547708950
PECOS Enrollment IDI20240816001296
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Long Beach Precision Vision LLC
Same address
Optometrist
202 E RAILROAD ST
Long Beach, MS 39560
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1750813010 (228) 868-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
26 services26 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
22 services15 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39560 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 5

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

DR. JASON WILSON O.D.
Optometrist
202 E RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 868-2020
MAX M EDRINGTON OPTOMETRIST
Optometrist
202 E RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 868-2020
MAX M EDRINGTON OPTOMETRIST PA
Optometrist
202 E RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 868-2020
LONG BEACH PRECISION VISION LLC
Optometrist
202 E RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 868-2020
EYEDOK INCORPORATED
Optometrist
202 E RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 875-3318

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 Richard Clark's NPI number?

The NPI number for Richard Clark is 1184477085. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Richard Clark located?

Richard Clark practices at 202 E Railroad St, Long Beach, MS 39560. The listed phone number is (228) 686-2020.

What is Richard Clark's specialty?

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

Is Richard Clark enrolled in Medicare?

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

Which organization bills Medicare for Richard Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Clark reassigns Medicare benefits to Long Beach Precision Vision LLC (Long Beach, MS). The 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 Richard Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Clark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 14 other insurers list Richard 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 Richard Clark was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.