Jeffrey Jay Clark, OD - Medicare Optometrist in Lancaster, CA

Jeffrey Jay Clark, OD is a medicare enrolled "Optometrist" provider in Lancaster, California. He went to Southern California College Of Optometry and graduated in 2008 and has 16 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Antelope Valley Optometric Center, Inc. and his current practice location is 43927 15th St W, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (661) 948-6310.

Jeffrey Jay Clark is licensed to practice in California (license number 13495) 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 1053574657.

Contact Information

Jeffrey Jay Clark, OD
43927 15th St W,
Lancaster, CA 93534-4758
(661) 948-6310
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJeffrey Jay Clark
GenderMale
SpecialityOptometry
Experience16 Years
Location43927 15th St W, Lancaster, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Jay Clark attended and graduated from Southern California College Of Optometry in 2008
  NPI Data:
  • NPI Number: 1053574657
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 07/03/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8325287766
  • Enrollment ID: I20130617000145

Medical Identifiers

Medical identifiers for Jeffrey Jay Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053574657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 13495 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Antelope Valley Optometric Center, Inc.28604370683

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. Jeffrey Jay Clark allows following entities to bill medicare on his behalf.
Provider NameAntelope Valley Optometric Center, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548202864
PECOS PAC ID: 2860437068
Enrollment ID: O20050627001459

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. Jeffrey Jay 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 AddressPractice Location Address
Jeffrey Jay Clark, OD
43927 15th St W,
Lancaster, CA 93534-4758

Ph: (661) 948-6310
Jeffrey Jay Clark, OD
43927 15th St W,
Lancaster, CA 93534-4758

Ph: (661) 948-6310

Reviews and Comments


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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.