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NICHOLAS L CLARK O.D.
NPI 1760710958
Optometrist in Mcminnville, OR

Active since November 25, 2009PECOS EnrolledAccepts Medicare Assignment
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: August 02, 2026.

About Nicholas L Clark O.d. NPPES

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

NICHOLAS L CLARK O.D. (NPI 1760710958) is an individual optometrist in Mcminnville, Oregon, licensed in Oregon (3319 ATI) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2009).

NPPES Registry Identity

NPI1760710958
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNICHOLAS L CLARKCredential: O.D.
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
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2009
Enumeration DateNovember 25, 2009
Last NPPES UpdateJuly 29, 2015
✔ NPI 1760710958 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 · 3319 ATI
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

Professional Name (2)Nicholas L Clark Od, Llc

Accepted Insurance

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

Nicholas L 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 ID9638321433
PECOS Enrollment IDI20121129000649
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 3

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
26 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97128 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

NICHOLAS L CLARK, OD, LLC
Optometrist
2185 NW 2ND ST
MCMINNVILLE, OR 97128
Yamhill County (503) 435-1231

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 Clark's NPI number?

The NPI number for Nicholas Clark is 1760710958. It was assigned to this individual provider in the NPPES registry on November 25, 2009. The provider is also known as Nicholas L Clark Od, LLC.

Where is Nicholas Clark located?

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

What is Nicholas Clark's specialty?

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

Is Nicholas Clark enrolled in Medicare?

Yes. Nicholas 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 Nicholas Clark accept?

Health plans from Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicholas 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 Nicholas Clark 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.