Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912947144 Individual Practitioner Male Practitioner

Dr. Kevin Grafton Clark , OD, PA

Optometrist • Flowood, MS

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Clark, OD, PA is a registered healthcare professional specializing in Optometrist in Flowood, MS. Practice services are available at 5310 HIGHWAY 25 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5310 Highway 25
Suite 5

Flowood, MS 392326148

Telephone 6019190040
Fax 6019190083

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Flowood, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 22.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Flowood, MS (431 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MS 498

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
00087918 (MS)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 16, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2014

Registered at 5310 HIGHWAY 25, SUITE 5, FLOWOOD, MS 392326148 (Tel: 6019190040)

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Updated Business Mailing Address June 16, 2014

Registered at 5310 HIGHWAY 25, SUITE 5, FLOWOOD, MS 392326148 (Tel: 6019190040)

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Provider Name / Credentials Updated June 16, 2014

Recorded as KEVIN CLARK, O.D., P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2014

Optometrist (License #498 in MS)

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Initial NPI Registration & Enumeration June 07, 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: 1912947144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: June 16, 2014
Sole Proprietor: Yes

Mailing Address

5310 Highway 25, Suite 5

Flowood, MS 392326148

Phone: 6019190040

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.