DR. CHRISTOPHER INMAN CLARK (OD) – Optometrist, NPI 1265461594

DR. CHRISTOPHER INMAN CLARK (OD) is a healthcare provider. based in Seattle, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD00003035TX (WA). The NPI Number for DR. CHRISTOPHER INMAN CLARK (OD) is 1265461594

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER INMAN CLARK (OD)
NPI
1265461594
Phone
(206) 728-7505
Address
100 4TH AVE N
Enumeration Date
30 June 2006
Last Update Date
21 May 2008

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
2538458215
Graduation Year
1990 (36 years ago)
PAC ID
5294703146
Group Practice PAC ID
4587634829
Professional Enrollment ID
I20040920000478
Address ID
WA983715373PU113XXPION300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. CHRISTOPHER INMAN CLARK (OD)

  • KOMO Plaza West, 100, 4th Avenue North, South Lake Union, Cascade, Belltown, Seattle, King County, Washington, 98109, United States

    SUITE 145

    SEATTLE, WA 981094905

    Phone: (206) 728-7505

    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 9 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($254).

Total Amount

$428

General + Research + Ownership

Payments

9

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2004-09-20

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
I20040920000478IOptometryWATBD

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 98109)

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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: 4587634829View full group profile
NameSpecialtyState
O P T O M E T R YWA

Reviews

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Frequently asked questions

Is there an official ID for DR. CHRISTOPHER INMAN CLARK (OD) in U.S. healthcare records?
The official identifier for DR. CHRISTOPHER INMAN CLARK (OD) is NPI 1265461594.
Is DR. CHRISTOPHER INMAN CLARK (OD) shown as active in public data?
Registry records indicate DR. CHRISTOPHER INMAN CLARK (OD) maintains an active NPI.
What expertise is attributed to DR. CHRISTOPHER INMAN CLARK (OD)?
DR. CHRISTOPHER INMAN CLARK (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. CHRISTOPHER INMAN CLARK (OD) associated with Seattle?
Public fields place DR. CHRISTOPHER INMAN CLARK (OD) around Seattle, Washington. Always confirm the exact site before visiting.
Does DR. CHRISTOPHER INMAN CLARK (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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