Jacob David Clark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E20-TA-B53 Issued in AL

Practice address

2826 Ross Clark Cir Ste 102
Dothan, AL 36301-2017

Phone

(334) 793-2633

NPI assigned

May 22, 2019

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Ferris State College - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Partners PCGroup PAC ID 8123016334, 31 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.clark.p1@direct.ecs.nextgenshare.com

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.

• Eye Partners PC

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1902837453

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eyecare Associates, Inc.

  • Eyewear Supplier
  • Birmingham, AL
  • NPI 1710012877

  Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551
  Medicare reassignment NPD
• Eyecare Associates, Inc.

  • Optometrist
  • Albertville, AL
  • NPI 1053466821
  NPD
• Eyecare Associates, Inc.

  • Optometrist
  • Montgomery, AL
  • NPI 1871475038
  NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Irondale, AL
  • NPI 1871003657
  NPD
• Myeyedr Optometry of Alabama, LLC

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD
• Eye Partners PC

  • Durable Medical Equipment & Medical Supplies
  • Bainbridge, GA
  • NPI 1629719299
  NPD
• Eye Partners, PC

  • Optometrist
  • Dothan, AL
  • NPI 1740752021
  NPD (past)
• Schaeffer Eye Center Inc

  • Eyewear Supplier
  • Huntsville, AL
  • NPI 1033318233
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1760049068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012040",
            "telephone_number": "334-793-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 ROSS CLARK CIR STE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012017",
            "telephone_number": "334-793-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JACOB",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-07-25",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E20-TA-B53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Claassen, MD
• Jordan Haley Claassen
• Judy E Clardy, CRNA
• Carlos Stanford Clark II, MD
• Hunter Kavin Clark, CRNP
• Lisa Lynn Clark, CRNA
• Robert Charles Clark, CRNA
• Kimberly Rochelle Clausell, CRNP
• Clayton L. Wright, D.M.D., P.C.
• Rebecca Lanman Clayton, LPC

• Optometrist in Dothan, AL
• Providers in Dothan, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.