Tessa J Clark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2280 Issued in SC

Practice address

1101 Clarity Rd Ste 100
Mt Pleasant, SC 29464-3138

Phone

(843) 881-3937

Fax

(843) 375-1487

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.45 of 100Reported as individual

Quality

96.74

Promoting interoperability

100

Improvement activities

30

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Eyecare Physicians LLC

  • Ophthalmology Physician
  • N Charleston, SC
  • NPI 1659421238
  Medicare reassignment Care Compare group NPD
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • North Charleston, SC
  • NPI 1578589289
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1376112797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-725-0064",
            "fax_number": "843-569-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CLARITY RD STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643138",
            "telephone_number": "843-881-3937",
            "fax_number": "843-375-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TESSA",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tclark@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1101 Clarity Rd Ste 100",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294643138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John M Ciccone, MD
• Melissa Paige McKeithan Cisa, MD
• Katarzyna Ciszewski, MS, LPC
• William R Clair IV, RPH
• Carrie Clark, PTA
• Sylvia Lee Clarkson, M.D.
• Class Family Chiropractic, LLC
• Brian David Class, D.C.
• Lauren Marturano Claypoole, CRNA
• Clearway Surgery Center of Mt. Pleasant SC, LLC

• Optometrist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.