Dr Boyd A Clark, OD is a medicare enrolled "Optometrist" provider in Callaway, Florida. He went to Southern College Of Optometry and graduated in 1979 and has 45 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Gulf Coast Optometry Pa and his current practice location is
725 N Tyndall Pkwy, Callaway, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 785-0007.
Dr Boyd A Clark is licensed to practice in Florida (license number FL 1463) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205830767.
Healthcare Provider's Profile
Full Name | Dr Boyd A Clark |
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Gender | Male |
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Speciality | Optometry |
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Experience | 45 Years |
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Location | 725 N Tyndall Pkwy, Callaway, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Boyd A Clark attended and graduated from Southern College Of Optometry in 1979
NPI Data:
- NPI Number: 1205830767
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 04/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 7113933367
- Enrollment ID: I20060227000227
Medical Identifiers
Medical identifiers for Dr Boyd A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205830767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | FL 1463 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gulf Coast Optometry Pa | 0941359533 | 50 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Boyd A Clark allows following entities to bill medicare on his behalf.
Provider Name | Gulf Coast Optometry Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1083859409 PECOS PAC ID: 0941359533 Enrollment ID: O20090602000109 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Boyd A Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Boyd A Clark, OD 725 N Tyndall Pkwy, C/o Vision Center, Callaway, FL 32404-3219 Ph: (850) 785-0007 | Dr Boyd A Clark, OD 725 N Tyndall Pkwy, Callaway, FL 32404-3219 Ph: (850) 785-0007 |
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