BREL CLARK,O.D.,P.C.
NPI 1962956359
Optometrist in Columbus, GA

Q: What is Brel Clark,o.D.,p.C.'s NPI number?

The NPI number for Brel Clark,o.D.,p.C. is 1962956359. It was assigned to this organization in the NPPES registry on August 15, 2016.

Q: What is Brel Clark,o.D.,p.C.'s specialty?

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

Active since August 15, 2016

5279 WHITTLESEY BLVD STE 100, COLUMBUS, GA 31909(706) 405-7308(706) 324-4939 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Brel Clark,o.d.,p.c. NPPES

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

BREL CLARK,O.D.,P.C. (NPI 1962956359) is a healthcare organization registered as an optometrist in Columbus, Georgia and active in the NPI registry since August 2016. The organization lists Brel Clark, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1962956359

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBREL CLARK,O.D.,P.C.

Location Address5279 WHITTLESEY BLVD STE 100Columbus, GA 31909-3073

Mailing AddressPo Box 4259Columbus, GA 31914-0259 · (706) 405-7308 · Fax (706) 324-4939

Phone(706) 405-7308

Fax(706) 324-4939

Organization SubpartNo

Authorized OfficialBrel ClarkOwner/optometrist · (706) 405-7308

Enumeration DateAugust 15, 2016

✔ NPI 1962956359 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 GA · OPT000940

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.

5279 WHITTLESEY BLVD STE 100, Columbus, GA 31909

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Other Identifiers 1

Medicaid000229215GGA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brel Clark,o.d.,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brel Clark,o.D.,p.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Brel Clark, OD, PC

Optometry

NPI 1619075033

5279 WHITTLESEY BLVD SUITE 100
Columbus, GA 31909

(706) 405-7308

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brel Clark,o.D.,p.C.'s NPI number?

The NPI number for Brel Clark,o.D.,p.C. is 1962956359. It was assigned to this organization in the NPPES registry on August 15, 2016.

Where is Brel Clark,o.D.,p.C. located?

Brel Clark,o.D.,p.C. is located at 5279 Whittlesey Blvd Ste 100, Columbus, GA 31909. The listed phone number is (706) 405-7308.

What is Brel Clark,o.D.,p.C.'s specialty?

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

Is Brel Clark,o.D.,p.C. enrolled in Medicare?

Yes. Brel Clark,o.D.,p.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brel Clark,o.D.,p.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Brel Clark,o.D.,p.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brel Clark,o.D.,p.C. was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.