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EYETECH EYECARE CENTER
NPI 1922409028
Optometrist in Meridian, MS

Active since September 08, 2014
2112 N FRONTAGE RD, MERIDIAN, MS 39301(601) 693-2020(601) 693-2690 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eyetech Eyecare Center NPPES

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

EYETECH EYECARE CENTER (NPI 1922409028) is a healthcare organization registered as an optometrist in Meridian, Mississippi and active in the NPI registry since September 2014. The organization lists Wendy K Clark, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1922409028
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGRADY M. CLARK JR., O.D.P.A.
Location Address2112 N FRONTAGE RDMeridian, MS 39301-6158
Mailing Address2112 N Frontage RdMeridian, MS 39301-6158 · (601) 693-2020 · Fax (601) 693-2690
Phone(601) 693-2020
Fax(601) 693-2690
Organization SubpartNo
Authorized OfficialWendy K ClarkOffice Administrator · (601) 693-2020
Enumeration DateSeptember 8, 2014
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1922409028 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 · 457
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.
2112 N FRONTAGE RD, Meridian, MS 39301
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Other Names 1

Doing Business AsEyetech Eyecare Center

Other Identifiers 2

Medicare PIN410000039MS
Medicare PIN362957MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. GRADY MIMS CLARK JR. O.D.
Optometrist (Corneal and Contact Management)
2112 N FRONTAGE RD
MERIDIAN, MS 39301
Lauderdale County (601) 693-2020

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 M. Clark Jr., O.D.P.A.'s NPI number?

The NPI number for Grady M. Clark Jr., O.D.P.A. is 1922409028. It was assigned to this organization in the NPPES registry on September 8, 2014. The provider is doing business as Eyetech Eyecare Center.

Where is Grady M. Clark Jr., O.D.P.A. located?

Grady M. Clark Jr., O.D.P.A. is located at 2112 N Frontage Rd, Meridian, MS 39301. The listed phone number is (601) 693-2020.

What is Grady M. Clark Jr., O.D.P.A.'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 Grady M. Clark Jr., O.D.P.A. was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.