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DR. JASON M CLARK O.D.
NPI 1699024695
Optometrist in Columbia, MO

Active since September 05, 2012PECOS EnrolledAccepts Medicare Assignment
101 CONLEY RD, COLUMBIA, MO 65201(573) 875-1126 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jason M Clark O.d. NPPES

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

DR. JASON M CLARK O.D. (NPI 1699024695) is an individual optometrist in Columbia, Missouri, licensed in Missouri (2012021505) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2012).

NPPES Registry Identity

NPI1699024695
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JASON M CLARKCredential: O.D.
Location Address101 CONLEY RDColumbia, MO 65201-6465
Mailing Address101 Conley RdColumbia, MO 65201-6465 · (573) 875-1126
Phone(573) 875-1126
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2012
Enumeration DateSeptember 5, 2012
✔ NPI 1699024695 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 MO · 2012021505
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.
101 CONLEY RD, Columbia, MO 65201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Jason M Clark O.d. 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 ID1153825070
PECOS Enrollment IDI20250915004116
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 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 2

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

SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
101 CONLEY RD
COLUMBIA, MO 65201
Boone County (573) 875-1095
SAM'S CLUB OPTICAL
Eyewear Supplier
101 CONLEY RD
COLUMBIA, MO 65201
Boone County (573) 875-2979

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 Jason Clark's NPI number?

The NPI number for Jason Clark is 1699024695. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Jason Clark located?

Jason Clark practices at 101 Conley Rd, Columbia, MO 65201. The listed phone number is (573) 875-1126.

What is Jason Clark's specialty?

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

Is Jason Clark enrolled in Medicare?

Yes. Jason 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.

What insurance does Jason Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Jason 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 Jason Clark was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.