Dr Grady Mims Clark Jr, OD in Meridian, MS - Medicare Optometry Provider

Dr Grady Mims Clark Jr, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Meridian, Mississippi. He went to Southern College Of Optometry and graduated in 1977 and has 47 years of diverse experience with area of expertise as Optometry. His current practice location is 2112 N Frontage Rd, Meridian, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 693-2020.

Dr Grady Mims Clark Jr is licensed to practice in Mississippi (license number 457) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831276278.

Contact Information

	Dr Grady Mims Clark Jr, OD
	2112 N Frontage Rd, Meridian, MS 39301-6158
	(601) 693-2020
	(601) 693-2690

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Grady Mims Clark Jr
Gender	Male
Speciality	Optometry
Experience	47 Years
Location	2112 N Frontage Rd, Meridian, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Grady Mims Clark Jr attended and graduated from Southern College Of Optometry in 1977

NPI Data:

NPI Number: 1831276278
Provider Enumeration Date: 11/01/2006
Last Update Date: 09/11/2018

Medicare PECOS Information:

PECOS PAC ID: 7911953146
Enrollment ID: I20050330000655

Medical Identifiers

Medical identifiers for Dr Grady Mims Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831276278	NPI	-	NPPES
00087865	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	457 (Mississippi)	Secondary
152WC0802X	Optometrist - Corneal And Contact Management	457 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Grady Mims Clark Jr allows following entities to bill medicare on his behalf.

Provider Name	Grady M Clark Jr O.d.p.a
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922409028 PECOS PAC ID: 8426277062 Enrollment ID: O20140915000928

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Grady Mims Clark Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Grady Mims Clark Jr, OD 2112 N Frontage Rd, Meridian, MS 39301-6158 Ph: (601) 693-2020	Dr Grady Mims Clark Jr, OD 2112 N Frontage Rd, Meridian, MS 39301-6158 Ph: (601) 693-2020

Reviews and Comments

Optometrist in Meridian, MS

Dr. Thi Bui, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1733 2nd St S, Meridian, MS 39301 Phone: 601-533-1355 Fax: 601-553-0527
Dr. Eric J Johnson Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1301 20th Ave, Meridian, MS 39301 Phone: 601-485-2368 Fax: 601-693-2174
Dr. James Dewey Westbrook, OD Optometrist Medicare: Medicare Enrolled Practice Location: 910 23rd Ave, Meridian, MS 39301 Phone: 601-693-1841
Primary Eyecare South Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1217 S Frontage Rd Ste E, Meridian, MS 39301 Phone: 601-485-2020
Eyecare Express, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1733 2nd St S, Meridian, MS 39301 Phone: 601-553-0527 Fax: 601-553-1355
David A Otto, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5002 Highway 39 N, Building B, Meridian, MS 39301 Phone: 601-483-7331
Dr. Tracy B Phillips, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1733 2nd St S, Meridian, MS 39301 Phone: 601-693-0176

Dr Grady Mims Clark Jr, OD - Medicare Optometrist in Meridian, MS