Dr Christopher Inman Clark, OD in Seattle, WA - Medicare Optometrist Provider

Dr Christopher Inman Clark, OD is a medicare enrolled "Optometrist" provider in Seattle, Washington. His current practice location is 100 4th Ave N, Suite 145, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 728-7505.

Dr Christopher Inman Clark is licensed to practice in Washington (license number OD00003035TX) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265461594.

Contact Information

	Dr Christopher Inman Clark, OD
	100 4th Ave N, Suite 145, Seattle, WA 98109-4905
	(206) 728-7505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Christopher Inman Clark
Gender	Male
Speciality	Optometrist
Location	100 4th Ave N, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265461594
Provider Enumeration Date: 06/30/2006
Last Update Date: 05/21/2008

Medicare PECOS Information:

PECOS PAC ID: 5294703146
Enrollment ID: I20040920000478

Medical Identifiers

Medical identifiers for Dr Christopher Inman Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265461594	NPI	-	NPPES
CL4555	Other	WA	REGENCE WA HEALTH
143253	Other	WA	WA DEPT OF LABOR & INDUST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD00003035TX (Washington)	Primary
152WP0200X	Optometrist - Pediatrics	OD00003035TX (Washington)	Secondary
152WS0006X	Optometrist - Sports Vision	OD00003035TX (Washington)	Secondary
152WV0400X	Optometrist - Vision Therapy	OD00003035TX (Washington)	Secondary

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 Christopher Inman Clark allows following entities to bill medicare on his behalf.

Provider Name	Pearl Eye Care Center Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376730382 PECOS PAC ID: 4587634829 Enrollment ID: O20040726001371

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 Christopher Inman 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 Christopher Inman Clark, OD 100 4th Ave N, Suite 145, Seattle, WA 98109-4905 Ph: (206) 728-7505	Dr Christopher Inman Clark, OD 100 4th Ave N, Suite 145, Seattle, WA 98109-4905 Ph: (206) 728-7505

Reviews and Comments

Optometrist in Seattle, WA

Kelly K Malueg, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1519 Alaskan Way S, Base Seattle Medical, Seattle, WA 98134 Phone: 206-217-6432 Fax: 206-217-6636
Isaac H Varon Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6331 Hampton Rd S, Seattle, WA 98118 Phone: 206-725-2748
Westlake Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Pine St Ste 30, Seattle, WA 98101 Phone: 206-624-4898
Dr. Zhi Neng Feng, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4720 42nd Ave Sw, Seattle, WA 98116 Phone: 206-588-1037
Stephen D Nevett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 Ne Northgate Way Spc 1101, Seattle, WA 98125 Phone: 206-364-2273 Fax: 206-364-2576
Dr. Diana Chau, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200
Cannon Eyecare (at Pike Place's Market Optical) Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1906 Pike Place, Suite 8-b, At Market Optical, Seattle, WA 98101 Phone: 206-448-7739 Fax: 206-448-4924

Dr Christopher Inman Clark, OD - Medicare Optometrist in Seattle, WA