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

Dr Grady Mims Clark Jr, OD is a Optometrist - Corneal And Contact Management based in Meridian, Mississippi. Dr Grady Mims Clark Jr is licensed to practice in Mississippi (license number 457) and his current practice location is 2112 N Frontage Rd, Meridian, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 693-2020.

NPI number for Dr Grady Mims Clark Jr is 1831276278 and his current mailing address is 2112 N Frontage Rd, Meridian, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. 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 NameDr Grady Mims Clark Jr
GenderMale
SpecialityOptometrist - Corneal And Contact Management
Location2112 N Frontage Rd, Meridian, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831276278
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 09/11/2018

Medical Identifiers

Medical identifiers for Dr Grady Mims Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831276278NPI-NPPES
00087865MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 457 (Mississippi)Secondary
152WC0802XOptometrist - Corneal And Contact Management 457 (Mississippi)Primary

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 NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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Dr. Eric J Johnson Ii, O.D.
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Phone: 601-553-0527    Fax: 601-553-1355
David A Otto,
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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.
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Medicare: Accepting Medicare Assignments
Practice Location: 4803 Poplar Springs Dr Ste A, Meridian, MS 39305
Phone: 601-693-0176    Fax: 601-693-0177

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.