DAKOTA CLARK OD
NPI 1528940087
Optometrist in Owasso, OK
About Dakota Clark Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAKOTA CLARK OD (NPI 1528940087) is an individual optometrist in Owasso, Oklahoma, licensed in Oklahoma (3293) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dakota 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.
Medicare Billing Reassignment
Medicare enrollment records show Dakota Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owasso, OK 74055
- Reassigned Medicare billing, Oklahoma enrollment
- 3 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 74055 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
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 Dakota Clark's NPI number?
The NPI number for Dakota Clark is 1528940087. It was assigned to this individual provider in the NPPES registry on July 24, 2025.
Where is Dakota Clark located?
Dakota Clark practices at 9021 N 121st East Ave Ste 100A, Owasso, OK 74055. The listed phone number is (918) 272-4900.
What is Dakota Clark's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Dakota Clark enrolled in Medicare?
Yes. Dakota 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.
Which organization bills Medicare for Dakota Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dakota Clark reassigns Medicare benefits to Loving Eyecare, Inc (Owasso, OK). 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 Dakota Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dakota Clark accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Dakota 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 Dakota Clark was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dakota Clark, OD · NPI 1528940087
Optometrist provider in Owasso, Oklahoma. Individual provider, active in the CMS NPPES registry since July 24, 2025.
## Identity
- **NPI:** 1528940087 (Entity type: Individual)
- **Enumerated:** July 24, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3293 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9021 N 121ST EAST AVE STE 100A, Owasso, OK 74055-5432
- **Phone:** (918) 272-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Loving Eyecare, Inc (NPI 1871939033, Owasso, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2025
## Record status
- **NPPES last updated:** August 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1528940087) · Data from the CMS NPPES public registry.