Individual provider Active NPI

Clark Mitchell Ocker, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1992751614
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001638 Issued in PA
Practice address
1665 State Hill Rd
Wyomissing, PA 19610-1900
Phone
(610) 376-1589
Fax
(610) 374-2808
NPI assigned
May 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001638 PA Primary

Addresses

Primary practice location

1665 State Hill Rd
Wyomissing, PA 19610-1900

Mailing address

4 Wyomissing Blvd
Wyomissing, PA 19610-2055
Phone (610) 376-6108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OEG001638PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992751614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WYOMISSING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102055",
            "telephone_number": "610-376-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101900",
            "telephone_number": "610-376-1589",
            "fax_number": "610-374-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKER",
        "first_name": "CLARK",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.