MALLORY CLARK OD
NPI 1215776091
Optometrist in Ocean Springs, MS

Q: What is Mallory Clark's NPI number?

The NPI number for Mallory Clark is 1215776091. It was assigned to this individual provider in the NPPES registry on May 22, 2024. The provider is also known as Mallory Glilmer Od.

Q: What is Mallory 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 Mallory Clark was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since May 22, 2024PECOS EnrolledAccepts Medicare Assignment

3430 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564(228) 875-3318 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mallory Clark Od NPPES

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

MALLORY CLARK OD (NPI 1215776091) is an individual optometrist in Ocean Springs, Mississippi, licensed in Mississippi (1100) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2024).

NPPES Registry Identity

NPI1215776091

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMALLORY CLARKCredential: OD

Location Address3430 BIENVILLE BLVDOcean Springs, MS 39564-5732

Mailing Address530 Mockingbird DrLong Beach, MS 39560-3100

Phone(228) 875-3318

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2024

Enumeration DateMay 22, 2024

Last NPPES UpdateSeptember 3, 2024

NPPES CertifiedAugust 29, 2024

✔ NPI 1215776091 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 MS · 1100

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.

3430 BIENVILLE BLVD, Ocean Springs, MS 39564

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Other Names 1

Other Name (5)Mallory Glilmer Od

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 from Magnolia Health and more.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

Mallory Clark Od 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 ID1153869615

PECOS Enrollment IDI20240814004396

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

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.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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 7

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

LARRY FERDINAND JR. M.D.

Ophthalmology