Dr Jacob David Clark, OD in Dothan, AL - Medicare Optometry Provider

Dr Jacob David Clark, OD is a medicare enrolled "Optometrist" provider in Dothan, Alabama. He went to Ferris State College - College Of Optometry and graduated in 2016 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyecare Associates, Inc., Eye Partners Pc and his current practice location is 2826 Ross Clark Cir Ste 102, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-2633.

Dr Jacob David Clark is licensed to practice in Alabama (license number S-E20-TA-B53) 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 1760049068.

Contact Information

	Dr Jacob David Clark, OD
	2826 Ross Clark Cir Ste 102, Dothan, AL 36301-2017
	(334) 793-2633
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob David Clark
Gender	Male
Speciality	Optometry
Experience	9 Years
Location	2826 Ross Clark Cir Ste 102, Dothan, Alabama
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 Jacob David Clark attended and graduated from Ferris State College - College Of Optometry in 2016

NPI Data:

NPI Number: 1760049068
Provider Enumeration Date: 05/22/2019
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 0547596462
Enrollment ID: I20190730001564

Medical Identifiers

Medical identifiers for Dr Jacob David Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760049068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-E20-TA-B53 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eyecare Associates, Inc.	0749254001	52
Eye Partners Pc	8123016334	27

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 Jacob David Clark allows following entities to bill medicare on his behalf.

Provider Name	Eyecare Associates, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710012877 PECOS PAC ID: 0749254001 Enrollment ID: O20040823000825

Provider Name	Myeyedr Optometry Of Alabama Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770093551 PECOS PAC ID: 0840559878 Enrollment ID: O20180118002553

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 Jacob David Clark 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 Jacob David Clark, OD 2800 Ross Clark Cir, Dothan, AL 36301-2040 Ph: (334) 793-2211	Dr Jacob David Clark, OD 2826 Ross Clark Cir Ste 102, Dothan, AL 36301-2017 Ph: (334) 793-2633

Reviews and Comments

Optometrist in Dothan, AL

Murray Vision Source Inc Optometrist Medicare: Medicare Enrolled Practice Location: 550 John D Odom Rd, Dothan, AL 36303 Phone: 334-699-5999 Fax: 334-479-0631
Dr. Michael Joel Hill, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4310 Montgomery Hwy, Dothan, AL 36303 Phone: 334-671-9719 Fax: 334-671-9721
Jordan Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-792-2211
Dr. William H Feagin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St, Dothan, AL 36301 Phone: 334-794-1175 Fax: 334-793-0619
Mr. David Walker Badham, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 151 W Main St, Dothan, AL 36301 Phone: 334-793-2633 Fax: 334-794-1626
Dr. Lauren Elise Albert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Care Way, Dothan, AL 36303 Phone: 334-794-8797 Fax: 334-479-0658
Paul Curtis Roten, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1936 Ross Clark Cir, Dothan, AL 36301 Phone: 334-794-0585 Fax: 337-671-4943

Dr Jacob David Clark, OD - Medicare Optometrist in Dothan, AL