JACKSON TYLER CLARK
NPI 1245022540
Optometrist in Indianapolis, IN
About Jackson Tyler Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON TYLER CLARK (NPI 1245022540) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18004592A) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Jackson Tyler Clark 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jackson Clark's NPI number?
The NPI number for Jackson Clark is 1245022540. It was assigned to this individual provider in the NPPES registry on May 21, 2025.
Where is Jackson Clark located?
Jackson Clark practices at 6985 W 38th St Ste 100, Indianapolis, IN 46254. The listed phone number is (317) 243-0028.
What is Jackson Clark's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jackson Clark enrolled in Medicare?
Yes. Jackson 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 Jackson Clark accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Jackson 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 Jackson Clark was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jackson Tyler Clark · NPI 1245022540
Optometrist provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 21, 2025.
## Identity
- **NPI:** 1245022540 (Entity type: Individual)
- **Enumerated:** May 21, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004592A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6985 W 38TH ST STE 100, Indianapolis, IN 46254-3918
- **Phone:** (317) 243-0028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Indiana University - School Of Optometry, class of 2025
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245022540) · Data from the CMS NPPES public registry.