DR. PATRICK JAMES CLARK JR. O.D.
NPI 1285699553
Optometrist in Travis Afb, CA

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
101 BODIN CIR, 60 MDG/AMDS OPTOMETRY CLINIC, TRAVIS AFB, CA 94535(707) 423-7171 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Patrick James Clark Jr. O.d. NPPES

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

DR. PATRICK JAMES CLARK JR. O.D. (NPI 1285699553) is an individual optometrist in Travis Afb, California, licensed in California (10580T) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1995).

NPPES Registry Identity

NPI1285699553
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PATRICK JAMES CLARK JR.Credential: O.D.
Location Address101 BODIN CIR, 60 MDG/AMDS OPTOMETRY CLINICTravis Afb, CA 94535-1809
Mailing Address101 Bodin Cir, 60 Mdg/amds Optometry ClinicTravis Afb, CA 94535-1809 · (707) 423-7171
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 1995
Enumeration DateApril 19, 2006
Last NPPES UpdateFebruary 13, 2014
NPI 1285699553 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 CA · 10580T
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.
101 BODIN CIR, Travis Afb, CA 94535

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

Dr. Patrick James Clark Jr. 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 ID8527360460
PECOS Enrollment IDI20160525001648
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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 20

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

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Patrick Clark's NPI number?

The NPI number for Patrick Clark is 1285699553. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Patrick Clark located?

Patrick Clark practices at 101 Bodin Cir 60 Mdg/Amds Optometry Clinic, Travis Afb, CA 94535. The listed phone number is (707) 423-7171.

What is Patrick Clark's specialty?

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

Is Patrick Clark enrolled in Medicare?

Yes. Patrick 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.

When was this NPI record last updated?

The NPPES record for Patrick Clark was last updated on February 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.