Matthew Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

IN18003898A Issued in IN

Practice address

2792 E 146TH St
Carmel, IN 46033-7718

Phone

(317) 843-2020

NPI assigned

Aug 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Zionsville Eyecare LLCGroup PAC ID 3375736119, 8 clinicians

Indiana Community EyecareGroup PAC ID 9739476094, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Indiana Community Eyecare

  dba Carmel Eyecare

  • Optometrist
  • Carmel, IN
  • NPI 1114374436
  Medicare reassignment Care Compare group NPD
• Zionsville Eyecare LLC

  dba Zionsville Eyecare

  • Optometrist
  • Zionsville, IN
  • NPI 1659687754
  Medicare reassignment Care Compare group NPD
• Wittmann 20/20 Family Eye Center

  • Optometrist
  • Carmel, IN
  • NPI 1104133842
  NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1679949184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 E 146TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337718",
            "telephone_number": "317-843-2020",
            "fax_number": "317-660-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 E 146TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337718",
            "telephone_number": "317-843-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "IN18003898A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Makayla Clark, WRAPAROUND
• Jennifer Clark, PHARM.D
• Joanne Mary Clark, OTR
• Kirsten Elizabeth Clark, PTA
• Lisa Marie Clark
• Diana Lynn Clarke, LMHC, NCC
• Karin J. Clary, P.A.
• Tanya May Clary, CNS
• Dawn Clay
• Lisa Renee Clay, M.D.

• Optometrist in Carmel, IN
• Providers in Carmel, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.