KEVIN GRAFTON CLARK O.D., P.A.
NPI 1912947144
Optometrist in Flowood, MS

Q: What is Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1912947144. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Kevin Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Clark was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 07, 2006

5310 HIGHWAY 25, SUITE 5, FLOWOOD, MS 39232(601) 919-0040(601) 919-0083 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kevin Grafton Clark O.d., P.a. NPPES

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

KEVIN GRAFTON CLARK O.D., P.A. (NPI 1912947144) is an individual optometrist in Flowood, Mississippi, licensed in Mississippi (498) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912947144

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKEVIN GRAFTON CLARKCredential: O.D., P.A.

Location Address5310 HIGHWAY 25, SUITE 5Flowood, MS 39232-6148

Mailing Address5310 Highway 25, Suite 5Flowood, MS 39232-6148 · (601) 919-0040 · Fax (601) 919-0083

Phone(601) 919-0040

Fax(601) 919-0083

Sole ProprietorYes

Enumeration DateJune 7, 2006

Last NPPES UpdateJune 16, 2014

✔ NPI 1912947144 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 MS · 498

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.

5310 HIGHWAY 25, Flowood, MS 39232

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Other Identifiers 3

Medicare UPINT21245MS

Medicare PIN512 I 41 0025MS

Medicaid00087918MS

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 Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1912947144. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Kevin Clark located?

Kevin Clark practices at 5310 Highway 25 Suite 5, Flowood, MS 39232. The listed phone number is (601) 919-0040.

What is Kevin Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Clark was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.