DR. JAMES JEFFREY CLARK (O.D.) – Optometrist, NPI 1891859682
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 DR. JAMES JEFFREY CLARK (O.D.)
210, South 16th Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302242663
Phone: (770) 229-8700
Fax: (770) 229-5008
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-03-05
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 |
|---|---|---|---|---|
| I20040305000140 | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,800 | 11 | $0 |
| 92014 | Established patient complete exam of visual system | 63 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 35 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 25 | $0 |
| 92134 | Imaging of retina | 42 | 36 | $0 |
Insurance plans in this area (ZIP 30224)
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