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MR. NICKOLAS WILSON CLARK OD
NPI 1740478403
Optometrist in Pearisburg, VA

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
122 TAZEWELL ST, PEARISBURG, VA 24134(540) 921-3921(540) 921-1328 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nickolas Wilson Clark Od NPPES

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

MR. NICKOLAS WILSON CLARK OD (NPI 1740478403) is an individual optometrist in Pearisburg, Virginia, licensed in Virginia (0618002202) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Christiansburg, and is a graduate of Southern College Of Optometry (2007).

NPPES Registry Identity

NPI1740478403
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. NICKOLAS WILSON CLARKCredential: OD
Location Address122 TAZEWELL STPearisburg, VA 24134
Mailing Address122 Tazewell StPearisburg, VA 24134-1632 · (540) 921-3921 · Fax (540) 921-1328
Phone(540) 921-3921
Fax(540) 921-1328
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2007
Enumeration DateOctober 9, 2007
Last NPPES UpdateJuly 6, 2018
✔ NPI 1740478403 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 VA · 0618002202
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.
122 TAZEWELL ST, Pearisburg, VA 24134
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Secondary Practice Location 1

Location 11566 N Franklin StChristiansburg, VA 24073-1412 · Phone (540) 381-9086 · Fax (540) 381-8183

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Mr. Nickolas Wilson 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 ID3678653847
PECOS Enrollment IDI20130412000215
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,378 services23 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
362 services353 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
142 services91 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
84 services67 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
58 services58 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
37 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24134 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier22 claims22 services$48.65 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims20 services$46.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CLARITY EYE CARE, PLC
Optometrist
122 TAZEWELL ST
PEARISBURG, VA 24134
Giles County (540) 921-3921
DR. DANIEL LAYNE BOWLING OD
Optometrist
122 TAZEWELL ST
PEARISBURG, VA 24134
Giles County (540) 921-3921
D. L. BOWLING, O.D., P.C.
Eyewear Supplier
122 TAZEWELL ST
PEARISBURG, VA 24134
Giles County (540) 921-3921
HELEN JACQUELINE CLARK O.D.
Optometrist
122 TAZEWELL ST
PEARISBURG, VA 24134
Giles County (540) 921-3921

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 Nickolas Clark's NPI number?

The NPI number for Nickolas Clark is 1740478403. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Nickolas Clark located?

Nickolas Clark practices at 122 Tazewell St, Pearisburg, VA 24134. The listed phone number is (540) 921-3921.

What is Nickolas Clark's specialty?

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

Is Nickolas Clark enrolled in Medicare?

Yes. Nickolas 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 Nickolas Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Nickolas 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 Nickolas Clark was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.