Active NPI 1124121124 Individual Practitioner Male Practitioner

Dr. Donald R Clark , OD

Optometrist • Dublin, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Clark, OD is a certified Optometrist practicing in Dublin, GA. With approximately 34 years of clinical experience since graduating from Southern College Of Optometry in 1992, Dr. Clark delivers high-quality medical care to the local community at 2032 VETERANS BLVD.

Dr. Clark is affiliated with Gayton Health Centre Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2032 Veterans Blvd
Suite A

Dublin, GA 310213042

Telephone 4782723445

Fax 4782724802

Associated Practice Facility / Clinic

🏢 Myeyedr Optometry Of Georgia Llc Facility NPI 1558531509

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dublin, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +17.2 yrs vs City Avg

City Avg: 16.8 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Dublin, GA (1498 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (34 Years) 34 Yrs

Dublin Specialty Average (16.8 Years) 16.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	102	$125.00	$84.82
92014 Established patient complete exam of visual system	74	73	$160.00	$114.57
92004 New patient complete exam of visual system	66	66	$290.00	$134.33
92133 Imaging of optic nerve	52	47	$95.00	$32.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	40	$210.00	$120.84
76514 Ultrasound scan of cornea to determine thickness	25	25	$40.00	$9.79
92083 Exam of visual field with extended testing	19	18	$155.00	$57.52
92134 Imaging of retina	18	17	$95.00	$35.70
92250 Photography of the retina	15	15	$150.00	$34.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$215.00	$157.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	90	90	$290.00	$136.62
92014 Established patient complete exam of visual system	68	68	$163.82	$117.32
99213 Established patient office or other outpatient visit, typically 15 minutes	63	55	$125.00	$83.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$207.50	$121.78
92133 Imaging of optic nerve	31	28	$95.00	$33.61
92250 Photography of the retina	27	27	$150.00	$34.06
92134 Imaging of retina	19	19	$95.00	$34.64
92083 Exam of visual field with extended testing	17	16	$155.00	$54.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$215.00	$159.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	93	93	$290.00	$137.05
92014 Established patient complete exam of visual system	75	75	$168.67	$117.95
99213 Established patient office or other outpatient visit, typically 15 minutes	71	61	$125.00	$84.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$210.00	$121.11
92250 Photography of the retina	28	27	$150.00	$33.46
92134 Imaging of retina	18	16	$95.00	$37.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$270.88	$159.05
92133 Imaging of optic nerve	17	17	$95.00	$33.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	60	60	$264.58	$138.02
92014 Established patient complete exam of visual system	28	28	$167.86	$118.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$360.00	$154.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$201.43	$123.49
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$119.67	$86.81
92250 Photography of the retina	13	13	$139.62	$34.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	65	65	$120.00	$119.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$145.00	$104.27
92004 New patient complete exam of visual system	16	16	$145.00	$142.98
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$106.54	$71.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	97	96	$120.52	$118.33
92250 Photography of the retina	28	26	$105.00	$47.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$145.00	$103.63
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$106.67	$70.75
92004 New patient complete exam of visual system	24	24	$145.00	$143.07
92083 Exam of visual field with extended testing	17	13	$120.00	$59.90
92133 Imaging of optic nerve	16	12	$75.00	$32.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	96	95	$120.52	$114.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	29	$145.00	$98.44
92004 New patient complete exam of visual system	29	29	$145.00	$137.49
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$105.83	$67.03
92133 Imaging of optic nerve	16	12	$75.00	$31.83
92250 Photography of the retina	15	12	$105.00	$50.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	58	58	$120.43	$113.75
99213 Established patient office or other outpatient visit, typically 15 minutes	56	55	$106.70	$67.19
92250 Photography of the retina	39	37	$105.00	$58.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$145.00	$99.34
92004 New patient complete exam of visual system	24	24	$145.00	$136.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$125.00	$100.87
92133 Imaging of optic nerve	15	13	$75.00	$32.81

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT001315

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000583107F (GA)

Hospital & Practice Group Affiliations

Gayton Health Centre Pc

216 Corder Rd, Warner Robins, GA 310883604

Phone: 4789235872

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. James Craig , OD

Optometrist

NPI 1114967742

Doctor of Optometry

Dr. William Whitaker , OD

Optometrist

NPI 1447299581

Doctor of Optometry

Dr. Edwin Porter , OD

Optometrist

NPI 1740229897

Doctor of Optometry

Dr. Heidi Carr , OD

Optometrist

NPI 1881276095

Doctor of Optometry

Dr. Taylor Brigham , OD

Optometrist

NPI 1902336654

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2017

Registered at 2032 VETERANS BLVD, SUITE A, DUBLIN, GA 310213042 (Tel: 4782723445)

📍

Updated Business Mailing Address November 16, 2017

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

👤

Provider Name / Credentials Updated November 16, 2017

Recorded as DONALD CLARK, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Optometrist (License #OPT001315 in GA)

✅

NPI Profile Active September 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2015

Registered at 2032 VETERANS BLVD, SUITE A, DUBLIN, GA 310213042 (Tel: 4782723445)

📍

Updated Business Mailing Address September 18, 2015

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

👤

Provider Name / Credentials Updated September 18, 2015

Recorded as DONALD CLARK, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2015

Optometrist (License #OPT001315 in GA)

🟢

Initial NPI Registration & Enumeration September 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124121124

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 06, 2006

Last Update: February 15, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1950 Old Gallows Rd, Suite 520

Vienna, VA 221823990

Phone: 7038478899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.