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DEMETRICE CLARK OD
NPI 1992750616
Optometrist in Durham, NC

Active since May 23, 2006PECOS Enrolled
2216 E NC HIGHWAY 54, DURHAM, NC 27713(919) 544-2020 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Demetrice Clark Od NPPES

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

DEMETRICE CLARK OD (NPI 1992750616) is an individual optometrist in Durham, North Carolina, licensed in North Carolina (1385) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992750616
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDEMETRICE CLARKCredential: OD
Location Address2216 E NC HIGHWAY 54Durham, NC 27713-2208
Mailing Address100 Glade Park RdCary, NC 27518-8683 · (919) 363-2146
Phone(919) 544-2020
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 7, 2015
✔ NPI 1992750616 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 NC · 1385
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.
2216 E NC HIGHWAY 54, Durham, NC 27713
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Other Identifiers 1

Medicare UPINU12276

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demetrice Clark Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 7

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

ANTHONY RONALD CLARK OD
Optometrist
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 544-2020
CHRISTOPHER GLUPKER OD
Optometrist
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 544-2020
ANGELA MIKI MCIVER PA-C
Physician Assistant
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 350-0365
YUVAL ZEV KIMBELL PA-C
Physician Assistant (Medical)
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 235-1040
MRS. DIANNE MARY LORE DNP, FNP-BC, CPNP-PC
Nurse Practitioner (Family)
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 350-0365
MELISSA ANNE GRAVES O.D.
Optometrist
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 544-2020
WAKE SPECIALTY PHYSICIANS LLC
Family Medicine
2216 E NC HIGHWAY 54
DURHAM, NC 27713
Durham County (919) 350-0365

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 Demetrice Clark's NPI number?

The NPI number for Demetrice Clark is 1992750616. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Demetrice Clark located?

Demetrice Clark practices at 2216 E Nc Highway 54, Durham, NC 27713. The listed phone number is (919) 544-2020.

What is Demetrice Clark's specialty?

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

Is Demetrice Clark enrolled in Medicare?

Yes. Demetrice Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Demetrice Clark was last updated on May 7, 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.