AMBER CLARK
NPI 1487206439
Optometrist in Woodstock, GA
About Amber Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBER CLARK (NPI 1487206439) is an individual optometrist in Woodstock, Georgia, licensed in Georgia (OPT003176) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amber Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amber Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Davie, FL 33328
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30188 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODSTOCK, GA 30188
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 Amber Clark's NPI number?
The NPI number for Amber Clark is 1487206439. It was assigned to this individual provider in the NPPES registry on July 10, 2019.
Where is Amber Clark located?
Amber Clark practices at 12182 Highway 92, Woodstock, GA 30188. The listed phone number is (770) 516-4719.
What is Amber Clark's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Amber Clark enrolled in Medicare?
Yes. Amber Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amber Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amber Clark reassigns Medicare benefits to Blinking Owl Eyecare LLC (Davie, FL). 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 Amber Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amber Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Amber 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 Amber Clark was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amber Clark · NPI 1487206439
Optometrist provider in Woodstock, Georgia. Individual provider, active in the CMS NPPES registry since July 10, 2019.
## Identity
- **NPI:** 1487206439 (Entity type: Individual)
- **Enumerated:** July 10, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT003176 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12182 HIGHWAY 92, Woodstock, GA 30188-4885
- **Phone:** (770) 516-4719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Blinking Owl Eyecare LLC (NPI 1629546007, Davie, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2014
## Record status
- **NPPES last updated:** July 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1487206439) · Data from the CMS NPPES public registry.