Nicholas L Clark, OD - Medicare Optometrist in Mcminnville, OR

Nicholas L Clark, OD is a medicare enrolled "Optometrist" provider in Mcminnville, Oregon. He went to Pacific University - College Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. His current practice location is 2185 Nw 2nd St, Mcminnville, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 435-1231.

Nicholas L Clark is licensed to practice in Oregon (license number 3319 ATI) 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 1760710958.

Contact Information

Nicholas L Clark, OD
2185 Nw 2nd St,
Mcminnville, OR 97128-9108
(503) 435-1231
(503) 435-0151

Map and Direction




Healthcare Provider's Profile

Full NameNicholas L Clark
GenderMale
SpecialityOptometry
Experience15 Years
Location2185 Nw 2nd St, Mcminnville, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas L Clark attended and graduated from Pacific University - College Of Optometry in 2009
  NPI Data:
  • NPI Number: 1760710958
  • Provider Enumeration Date: 11/25/2009
  • Last Update Date: 07/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638321433
  • Enrollment ID: I20121129000649

Medical Identifiers

Medical identifiers for Nicholas L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760710958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3319 ATI (Oregon)Primary

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. Nicholas L Clark allows following entities to bill medicare on his behalf.
Provider NameNicholas L Clark, Od, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548513583
PECOS PAC ID: 8729230529
Enrollment ID: O20121129000648

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. Nicholas L 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 AddressPractice Location Address
Nicholas L Clark, OD
2185 Nw 2nd St,
Mcminnville, OR 97128-9108

Ph: (503) 435-1231
Nicholas L Clark, OD
2185 Nw 2nd St,
Mcminnville, OR 97128-9108

Ph: (503) 435-1231

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.