LINDA JEAN CLARK (O.D.) – Optometrist, NPI 1013061803

LINDA JEAN CLARK (O.D.) is a healthcare provider. based in Goshen, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18002119 (IN). The NPI Number for LINDA JEAN CLARK (O.D.) is 1013061803

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
LINDA JEAN CLARK (O.D.)
NPI
1013061803
Phone
(574) 533-4910
Address
1765 STAFFORD COURT
Enumeration Date
22 January 2007
Last Update Date
2 February 2015

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5745334910
Graduation Year
1984 (42 years ago)
PAC ID
0244318665
Professional Enrollment ID
I20080424000480
Address ID
IN465266542GO1765XCTXX300
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

1,126 OPTOMETRY in IN

Provider Addresses for LINDA JEAN CLARK (O.D.)

  • 1765 STAFFORD COURT

    GOSHEN, IN 465266542

    Phone: (574) 533-4910

    Fax: (574) 534-3479

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-24

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
I20080424000480IOptometryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes228218$0
99212Established patient office or other outpatient visit, 10-19 minutes5944$0
66984Removal of cataract with insertion of prosthetic lens2614$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 46526)

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Provider's Procedures

LINDA JEAN CLARK (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92083Measurement of field of vision during daylight conditions3634

Reviews

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Frequently asked questions

Does LINDA JEAN CLARK (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LINDA JEAN CLARK (O.D.) uses 1013061803.
Is LINDA JEAN CLARK (O.D.) still practicing?
LINDA JEAN CLARK (O.D.) is currently listed as active in the public NPI registry.
What is LINDA JEAN CLARK (O.D.) best known for clinically?
Directory data describes LINDA JEAN CLARK (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does LINDA JEAN CLARK (O.D.) list a practice location?
Patients near Goshen, Indiana may find LINDA JEAN CLARK (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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