David Eric Clarke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11302 Issued in CA

Practice address

2565 Ceanothus Ave # 155
Chico, CA 95973-7615

Phone

(530) 899-3939

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Care Optometry PCGroup PAC ID 4385642404, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Eye Care Optometry, P.C.

  • Optometrist
  • Chico, CA
  • NPI 1417056896
  Medicare reassignment Care Compare group NPD Authorized official
• Glacier Eye Clinic PC

  • Ophthalmology Physician
  • Kalispell, MT
  • NPI 1790705564

  Optometrist

  Medicare reassignment NPD
• Chico Eye Center Medical Group

  dba Chico Eye Center

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1093756496
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164478392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 CEANOTHUS AVE 155",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737615",
            "telephone_number": "530-899-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 CEANOTHUS AVE # 155",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737615",
            "telephone_number": "530-899-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "912197331",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0113020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SD0113020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Clark, DDS, MSD
• Melinda Anne Clark
• Sarah Clark
• Stevie Clark
• Bertram Louis Clarke, LVN
• Maija Leena Clarke, PSY.D.
• Michael William Clarke, PHD
• Maurice Joven Clavano
• Aubree Claydon
• Dorothy A Cleary, MFTI

• Optometrist in Chico, CA
• Providers in Chico, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.