DONALD R CLARK (O.D.) – Optometrist, NPI 1124121124
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
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Provider Addresses for DONALD R CLARK (O.D.)
2032, Veterans Boulevard, Dublin, Laurens County, Georgia, 31021, United States
SUITE A
DUBLIN, GA 310213042
Phone: (478) 272-3445
Fax: (478) 272-4802
Type: Location
1950 OLD GALLOWS RD
SUITE 520
VIENNA, VA 221823990
Phone: (703) 847-8899
Fax: (703) 991-0514
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Alcon Vision LLC ($57).
Total Amount
$163
General + Research + Ownership
Payments
8
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $57 |
| Oyster Point Pharma, Inc. | $56 |
| CooperVision Inc. | $28 |
| Tarsus Pharmaceuticals, Inc. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120516000517 | I | Optometry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 90 | 90 | $0 |
| 92014 | Established patient complete exam of visual system | 68 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 27 | $0 |
| 92133 | Imaging of optic nerve | 31 | 28 | $0 |
Insurance plans in this area (ZIP 31021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| Physician Assistant | GA |
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