OrganizationActive
Grady M. Clark Jr., O.d.p.a.
NPI 1922409028 · Optometrist · Meridian, MS
Grady M. Clark Jr., O.d.p.a. is a Optometrist organization in Meridian, MS (NPI 1922409028).
Provider details
- NPI number
- 1922409028
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Wendy Clark, Office Administrator(601) 693-2020
- License
- 457 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2112 N Frontage Rd
Meridian, MS 39301-6158
Phone: (601) 693-2020
Fax: (601) 693-2690
Street-level locationGet directions
Mailing address
2112 N Frontage Rd
Meridian, MS 39301-6158
Other names (DBA / former)
- Doing business as
- Eyetech Eyecare Center
Registry dates
- Enumerated
- 2014-09-08
- Last updated
- 2017-02-20
Frequently asked questions
- What is Grady M. Clark Jr., O.d.p.a.'s NPI number?
- Grady M. Clark Jr., O.d.p.a.'s National Provider Identifier (NPI) is 1922409028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grady M. Clark Jr., O.d.p.a.?
- Grady M. Clark Jr., O.d.p.a. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Grady M. Clark Jr., O.d.p.a. located?
- Grady M. Clark Jr., O.d.p.a.'s practice location on file with NPPES is 2112 N Frontage Rd, Meridian, MS 39301-6158.
- What is Grady M. Clark Jr., O.d.p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Grady M. Clark Jr., O.d.p.a. is (601) 693-2020.
- Who is the authorized official for Grady M. Clark Jr., O.d.p.a.?
- The authorized official listed on Grady M. Clark Jr., O.d.p.a.'s NPPES record is Wendy Clark, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grady M. Clark Jr., O.d.p.a.'s NPI active?
- Yes — Grady M. Clark Jr., O.d.p.a.'s NPI (1922409028) is active in the NPPES registry as of the last update on 2017-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.