DR. ANDREW CLARK (O.D.) – Optometrist, NPI 1164447272

DR. ANDREW CLARK (O.D.) is a healthcare provider. based in Springfield, Illinois. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 046007654 (IL). The NPI Number for DR. ANDREW CLARK (O.D.) is 1164447272

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW CLARK (O.D.)
NPI
1164447272
Phone
(217) 528-3233
Address
121 N GRAND AVE W
Enumeration Date
12 July 2006
Last Update Date
12 June 2012

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2175283233
Graduation Year
1983 (43 years ago)
PAC ID
1153334594
Group Practice PAC ID
3678586187
Professional Enrollment ID
I20110106000895
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANDREW CLARK (O.D.)

  • 121, North Grand Avenue West, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627022562

    Phone: (217) 528-3233

    Fax: (217) 528-4511

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62702)

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Provider's Procedures

DR. ANDREW CLARK (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions5649
OPTOMETRYIL92134Diagnostic imaging of retina2726

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: 3678586187View full group profile
NameSpecialtyState
DR. SCOTT BLOMBERG (O.D.)
O P T O M E T R YIL
DR. DAVID C HOLLAND (O.D.)
-IL
DR. MICHAEL BRUCE (O.D.)
O P T O M E T R YIL
DR. JONATHAN LEONARD OTTINO (O.D.)
O P T O M E T R YIL
DALE J SWETLISHNOFF (OD)
-IL
DR. RYLEE RENE RAPPE (OD)
O P T O M E T R YIL
SHAUN S. HILL (O.D.)
O P T O M E T R YIL
DR. CLAIRE LUPTON (OD)
O P T O M E T R YIL
DR. JENNIFER WALLER (OD)
O P T O M E T R YIL
DR. KAREN C RUBRICH (OD)
O P T O M E T R YIL

Reviews

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Frequently asked questions

What identifier follows DR. ANDREW CLARK (O.D.) across health systems?
The NPI 1164447272 uniquely identifies DR. ANDREW CLARK (O.D.) in U.S. healthcare data.
Should I treat DR. ANDREW CLARK (O.D.) as an active provider?
Patients and plans typically see DR. ANDREW CLARK (O.D.) as active in the national extract.
How should patients interpret DR. ANDREW CLARK (O.D.)'s specialty?
The extract shows Optometrist for DR. ANDREW CLARK (O.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. ANDREW CLARK (O.D.) in Springfield, Illinois?
For routing, start with Springfield, Illinois for DR. ANDREW CLARK (O.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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