MEREDITH KATHERINE CLARK (O. D.) – Optometrist, NPI 1124382601

MEREDITH KATHERINE CLARK (O. D.) is a healthcare provider. based in Havre de grace, Maryland. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. OEG002639 (PA). The NPI Number for MEREDITH KATHERINE CLARK (O. D.) is 1124382601

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH KATHERINE CLARK (O. D.)
NPI
1124382601
Phone
(410) 939-2200
Address
920 REVOLUTION ST
Enumeration Date
28 June 2012
Last Update Date
22 September 2014

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
8604094565
Graduation Year
2012 (14 years ago)
PAC ID
9436308491
Group Practice PAC ID
8527493030
Professional Enrollment ID
I20201118002597
Address ID
CT060013690AV380XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

626 OPTOMETRY in MD

Provider Addresses for MEREDITH KATHERINE CLARK (O. D.)

  • 920 REVOLUTION ST

    HAVRE DE GRACE, MD 210783748

    Phone: (410) 939-2200

    Fax: (410) 939-5980

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $402.

Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($252).

Total Amount

$402

General + Research + Ownership

Payments

4

Total payment records

General Amount

$402

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2020-11-18

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
I20201118002597IOptometryCTTBD

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.

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

Insurance plans in this area (ZIP 21078)

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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: 8527493030View full group profile
NameSpecialtyState
-CT
-CT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
O P T O M E T R YCT

Reviews

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Frequently asked questions

What identifier follows MEREDITH KATHERINE CLARK (O. D.) across health systems?
The NPI 1124382601 uniquely identifies MEREDITH KATHERINE CLARK (O. D.) in U.S. healthcare data.
Is MEREDITH KATHERINE CLARK (O. D.) currently accepting referrals based on NPI status?
Registry metadata lists MEREDITH KATHERINE CLARK (O. D.) as active.
Which specialty label fits MEREDITH KATHERINE CLARK (O. D.)?
NPPES ties MEREDITH KATHERINE CLARK (O. D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MEREDITH KATHERINE CLARK (O. D.) tied to Havre De Grace, Maryland?
If you are local to Havre De Grace, Maryland, MEREDITH KATHERINE CLARK (O. D.) may be relevant to your search.
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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