Clark Optometric Center of SC, P.A.
NPI 1063981900ActiveOrganization· Optometrist· Simpsonville, SC
Optometrist in Simpsonville, South Carolina, registered in NPPES in November 2018. The authorized official on file is Anthony R. Clark, OD, Chief Medical Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063981900 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2018 |
| Last updated in NPPES | Jan 12, 2026 |
| Certified by provider | Jan 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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