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DR. OMAR-SHAY CLARK DC
NPI 1457895351
Chiropractor in Cape Coral, FL

Active since December 12, 2016Accepts Medicare Assignment
2378 SURFSIDE BLVD, SUITE A133, CAPE CORAL, FL 33991(239) 205-3700 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Omar-shay Clark Dc NPPES

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

DR. OMAR-SHAY CLARK DC (NPI 1457895351) is an individual chiropractor in Cape Coral, Florida, licensed in Florida (CH11971) and active in the NPI registry since December 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1457895351
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. OMAR-SHAY CLARKCredential: DC
Location Address2378 SURFSIDE BLVD, SUITE A133Cape Coral, FL 33991-3181
Mailing Address2378 Surfside Blvd, Suite A133Cape Coral, FL 33991-3181 · (239) 205-3700
Phone(239) 205-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 12, 2016
✔ NPI 1457895351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH11971
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2378 SURFSIDE BLVD, Cape Coral, FL 33991
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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. Omar-shay Clark Dc 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 ID3971885260
PECOS Enrollment IDI20170121000044

Other Providers at the Same Location NPPES

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

EXPERIENCE FAMILY CHIROPRACTIC
Chiropractor
2378 SURFSIDE BLVD, SUITE A133
CAPE CORAL, FL 33991
Lee County (239) 205-3700

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 Omar-shay Clark's NPI number?

The NPI number for Omar-shay Clark is 1457895351. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Omar-shay Clark located?

Omar-shay Clark practices at 2378 Surfside Blvd Suite A133, Cape Coral, FL 33991. The listed phone number is (239) 205-3700.

What is Omar-shay Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Omar-shay Clark enrolled in Medicare?

Yes. Omar-shay 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 Omar-shay Clark was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.