DAKOTA CLARK OD
NPI 1528940087
Optometrist in Owasso, OK

Q: 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.

Q: What is Dakota Clark's specialty?

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

Q: 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 13 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.

Active since July 24, 2025PECOS EnrolledAccepts Medicare Assignment

9021 N 121ST EAST AVE STE 100A, OWASSO, OK 74055(918) 272-4900 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

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

NPI1528940087

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDAKOTA CLARKCredential: OD

Location Address9021 N 121ST EAST AVE STE 100AOwasso, OK 74055-5432

Mailing Address9021 N 121st East Ave Ste 100aOwasso, OK 74055-5432 · (918) 272-4900

Phone(918) 272-4900

Sole ProprietorYes

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2025

Enumeration DateJuly 24, 2025

Last NPPES UpdateAugust 7, 2025

NPPES CertifiedAugust 7, 2025

✔ NPI 1528940087 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 OK · 3293

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.

9021 N 121ST EAST AVE STE 100A, Owasso, OK 74055

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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

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.

PECOS PAC ID244718070

PECOS Enrollment IDI20260303000073

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 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.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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

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

LOVING EYECARE, INC

Optometrist

9021 N 121ST EAST AVE STE 100A
OWASSO, OK 74055

Tulsa County (918) 272-4900

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.

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 13 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.