DR. STEVEN CLARK (O.D.) – Optometrist, NPI 1356334734
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STEVEN CLARK (O.D.)
433 SE JUNIPER AVE
GRESHAM, OR 970807870
Phone: (503) 449-1678
Type: Mailing
8700 NE VANCOUVER MALL DR STE 168
VANCOUVER, WA 986627922
Phone: (360) 253-3663
Fax: (360) 944-6090
Type: Location
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
TACOMA, WA 984310001
Phone: (539) 655-5162
Type: Mailing
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 $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Alcon Vision LLC ($169).
Total Amount
$207
General + Research + Ownership
Payments
4
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $169 |
| Johnson & Johnson Vision Care, Inc. | $38 |
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: 2021-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160316000970 | I | Optometry | OR | TBD |
| I20210520002804 | I | Optometry | WA | TBD |
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.
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 97080)
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Reviews
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