JEREMY D. CLARK M.D. – NPI #1073838850
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Health Care Provider Taxonomy Code for Ophthalmology

JEREMY CLARK is an ophthalmologist located in LOUISVILLE, KY. NPPES has assigned the NPI number 1073838850 to JEREMY CLARK on April 05, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 12 years ago on Jul 11, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEREMY CLARK below.

NPI Profile for
JEREMY D. CLARK

NPI Number
1073838850
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEREMY D. CLARK
Credentials
M.D.
Primary location
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1511
Phone: (502) 588-0550 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)		 KY 47098
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEREMY CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST HEALTH HARDIN
      913 NORTH DIXIE AVENUE
      ELIZABETHTOWN, KY 42701
    • BAPTIST HEALTH LOUISVILLE
      4000 KRESGE WAY
      LOUISVILLE, KY 40207
    • JEWISH HOSPITAL & ST MARY'S HEALTHCARE
      200 ABRAHAM FLEXNER WAY
      LOUISVILLE, KY 40202
    • KING'S DAUGHTERS' HEALTH
      1373 EAST SR 62
      MADISON, IN 47250
    • UNIVERSITY OF LOUISVILLE HOSPITAL
      530 SOUTH JACKSON STREET
      LOUISVILLE, KY 40202

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.