DR. PATRICK ALAN CLARK (OD) – Optometrist, NPI 1164048591

DR. PATRICK ALAN CLARK (OD) is a healthcare provider. based in Rio grande city, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 10036 (TX). The NPI Number for DR. PATRICK ALAN CLARK (OD) is 1164048591

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK ALAN CLARK (OD)
NPI
1164048591
Phone
(956) 256-5879
Address
202 N MITCHELL ST
Enumeration Date
22 June 2020
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8306255716
Graduation Year
2020 (6 years ago)
PAC ID
3971907452
Group Practice PAC ID
0547335358
Professional Enrollment ID
I20210805000473
Address ID
TX781308061NE266XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. PATRICK ALAN CLARK (OD)

  • 202 N MITCHELL ST

    RIO GRANDE CITY, TX 785822509

    Phone: (956) 256-5879

    Type: Location

  • 266 LANDA ST STE 100

    NEW BRAUNFELS, TX 781308061

    Phone: (956) 256-5879

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($200).

Total Amount

$308

General + Research + Ownership

Payments

9

Total payment records

General Amount

$308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

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: 2021-08-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210805000473IOptometryTXTBD

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
92250Photography of the retina103101$0
92012Established patient problem focused exam of visual system9882$0
92004New patient complete exam of visual system5757$0
92014Established patient complete exam of visual system4646$0
92083Exam of visual field with extended testing3028$0
View full utilization report →

Insurance plans in this area (ZIP 78582)

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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: 0547335358View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

How is DR. PATRICK ALAN CLARK (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. PATRICK ALAN CLARK (OD) with NPI 1164048591.
Does the file indicate DR. PATRICK ALAN CLARK (OD) is practicing under active NPI?
Directory data currently reports DR. PATRICK ALAN CLARK (OD) as active.
What is DR. PATRICK ALAN CLARK (OD) best known for clinically?
Directory data describes DR. PATRICK ALAN CLARK (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PATRICK ALAN CLARK (OD)?
DR. PATRICK ALAN CLARK (OD)'s geographic hint is Rio Grande City, Texas in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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