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MCMINNVILLE FAMILY EYE CARE
NPI 1548513583
Optometrist in Mcminnville, OR

Active since October 15, 2012
2185 NW 2ND ST, MCMINNVILLE, OR 97128(503) 435-1231(503) 435-0151 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mcminnville Family Eye Care NPPES

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

MCMINNVILLE FAMILY EYE CARE (NPI 1548513583) is a healthcare organization registered as an optometrist in Mcminnville, Oregon and active in the NPI registry since October 2012. The organization lists Nicholas L Clark, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1548513583
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNICHOLAS L CLARK, OD, LLC
Location Address2185 NW 2ND STMcminnville, OR 97128-9108
Mailing Address2185 Nw 2nd StMcminnville, OR 97128-9108 · (503) 435-1231 · Fax (503) 435-0151
Phone(503) 435-1231
Fax(503) 435-0151
Organization SubpartNo
Authorized OfficialNicholas L ClarkOptometrist · (503) 435-1231
Enumeration DateOctober 15, 2012
Last NPPES UpdateJuly 29, 2015
✔ NPI 1548513583 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 OR · 3319ATI
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.
2185 NW 2ND ST, Mcminnville, OR 97128
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Other Names 1

Doing Business AsMcminnville Family Eye Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcminnville Family Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mcminnville Family Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nicholas Clark, O.D.
Optometry
NPI 1760710958
2185 NW 2ND ST
Mcminnville, OR 97128
(503) 435-1231
✔ PECOS✔ Accepts MedicareSame address
Mina Fordyce, O.D.
Optometry
NPI 1922333012
12310 NE 8TH ST STE 101
Bellevue, WA 98005
(425) 558-9082
✔ PECOS174 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicholas L Clark, Od, LLC's NPI number?

The NPI number for Nicholas L Clark, Od, LLC is 1548513583. It was assigned to this organization in the NPPES registry on October 15, 2012. The provider is doing business as Mcminnville Family Eye Care.

Where is Nicholas L Clark, Od, LLC located?

Nicholas L Clark, Od, LLC is located at 2185 NW 2nd St, Mcminnville, OR 97128. The listed phone number is (503) 435-1231.

What is Nicholas L Clark, Od, LLC's specialty?

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

Is Nicholas L Clark, Od, LLC enrolled in Medicare?

Yes. Nicholas L Clark, Od, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicholas L Clark, Od, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Nicholas L Clark, Od, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nicholas L Clark, Od, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and PacificSource Health Plans list Nicholas L Clark, Od, LLC 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 Nicholas L Clark, Od, LLC was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.