P Praxis·MD
● Active Type 1 · Individual

DR. Chad Clark, O.D.

Optometrist·Boise, ID· NPI 1205241577 · Enumerated 2014 · 11 years on NPI
Clark is 1 of 123 optometrist providers in Boise and 1 of 598 in Idaho.
NPI age
11 years
Enumerated 2014-06-25
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 598 active optometrist providers in Idaho.

NPI age
11 years
↓ 7 yr below median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
1205 S Five Mile Rd
Boise, ID 837091304
📞 2083228381
Mailing address
1205 S Five Mile Rd
Boise, ID 837091304
📞 2083228381

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    ID license #ODP-100308 taxonomy 152W00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new optometrist provider has been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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