DR. GRADY MIMS CLARK JR. O.D.
NPI 1831276278
Optometrist - Corneal and Contact Management in Meridian, MS

Active since November 01, 2006
2112 N FRONTAGE RD, MERIDIAN, MS 39301(601) 693-2020(601) 693-2690 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grady Mims Clark Jr. O.d. NPPES

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

DR. GRADY MIMS CLARK JR. O.D. (NPI 1831276278) is an individual corneal and contact management provider in Meridian, Mississippi, licensed in Mississippi (457) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1831276278
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. GRADY MIMS CLARK JR.Credential: O.D.
Location Address2112 N FRONTAGE RDMeridian, MS 39301-6158
Mailing Address2112 N Frontage RdMeridian, MS 39301-6158 · (601) 693-2020 · Fax (601) 693-2690
Fax(601) 693-2690
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 2018
NPI 1831276278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in MS · 457
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 457 (MS)
2112 N FRONTAGE RD, Meridian, MS 39301

Other Identifiers 1

Medicaid00087865MS

Accepted Insurance

Other Providers at the Same Location NPPES

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

Optometrist
2112 N FRONTAGE RD
MERIDIAN, MS 39301

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 Grady Clark's NPI number?

The NPI number for Grady Clark is 1831276278. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Grady Clark located?

Grady Clark practices at 2112 N Frontage Rd, Meridian, MS 39301. The listed phone number is (601) 693-2020.

What is Grady Clark's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

What insurance does Grady Clark accept?

Health plans from Molina Healthcare list Grady 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 Grady Clark was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.