Dr. Richard Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184477085

Dr. Richard Clark is an Optometry in Long Beach, Mississippi. Graduated from Southern College of Optometry in 2024, 2 years ago. Practices with Long Beach Precision Vision LLC, a 2-clinician group. Licensed in Mississippi.

Years since qualifying: 2
Trained at: Southern College of Optometry
Licensed in: MS
In the registry since: 2024
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Long Beach, MS

No coordinates on file. Search this address in Google Maps

Specialties & licences

Optometrist (primary)	Taxonomy 152W00000X · Licence 1096 (MS)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1184477085
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	April 9, 2024
Last updated in NPPES	August 6, 2024
Certification date	August 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OPTOMETRY
Medical school	SOUTHERN COLLEGE OF OPTOMETRY
Graduated	2024 (2 years in practice)
Group practice	Long Beach Precision Vision Llc — 2 clinicians
Accepts Medicare assignment	Not indicated