KARA ELIZABETH CLARK (OD) – Optometrist, NPI 1144889809

KARA ELIZABETH CLARK (OD) is a healthcare provider. based in Dublin, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003155 (GA). The NPI Number for KARA ELIZABETH CLARK (OD) is 1144889809

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KARA ELIZABETH CLARK (OD)
NPI
1144889809
Phone
(478) 272-5933
Address
2400 BELLEVUE RD
Enumeration Date
6 June 2019
Last Update Date
7 June 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4782725933136
Graduation Year
2019 (7 years ago)
PAC ID
4284968579
Group Practice PAC ID
9032112024
Professional Enrollment ID
I20190619003559
Address ID
GA310212866DU18XXXPARK400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

Provider Addresses for KARA ELIZABETH CLARK (OD)

  • 2400, Bellevue Road, Dublin, Laurens County, Georgia, 31021, United States

    18 ERIN OFFICE PARK

    DUBLIN, GA 310212885

    Phone: (478) 272-5933

    Fax: (478) 272-5933

    Type: Mailing

  • 18 ERIN OFFICE PARK

    2400 BELLEVUE ROAD

    DUBLIN, GA 310212885

    Phone: (478) 272-5933

    Fax: (478) 272-5933

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $826.

Total Amount is formed as General ($826) + Research ($0) + Ownership ($0) = $826.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($410).

Total Amount

$826

General + Research + Ownership

Payments

26

Total payment records

General Amount

$826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190619003559IOptometryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system646612$0
92134Imaging of retina442397$0
92012Established patient problem focused exam of visual system270177$0
99214Established patient office or other outpatient visit, 30-39 minutes188174$0
99204New patient office or other outpatient visit, 45-59 minutes155155$0
View full utilization report →

Insurance plans in this area (ZIP 31021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032112024View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YMS
-GA
O P T O M E T R YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
-GA

Reviews

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Frequently asked questions

How do payers reference KARA ELIZABETH CLARK (OD)?
For KARA ELIZABETH CLARK (OD), use NPI 1144889809 as the unique 10-digit identifier.
Would KARA ELIZABETH CLARK (OD) appear as active to a payer?
You can treat KARA ELIZABETH CLARK (OD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KARA ELIZABETH CLARK (OD)?
KARA ELIZABETH CLARK (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is KARA ELIZABETH CLARK (OD) registered?
Use Dublin, Georgia as the headline location for KARA ELIZABETH CLARK (OD) here.
When was this NPI issued?
Enumeration for KARA ELIZABETH CLARK (OD) is noted as June 6, 2019 where the registry provides it.

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