NPI age
18 years
Enumerated 2008-04-25
● Active
Type 1 · Individual
Spurgeon William Clark III, M. D.
Clark is 1 of 2 ophthalmology providers in Waycross and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
502 Isabella Street
Waycross, GA 315013638
Mailing address
P.o. Box 2009
Waycross, GA 315022009
Specialties
-
Ophthalmology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000264547B | |
| 01 (GA) | 024581 | BCBS |
| 01 (GA) | 180011242 | MEDICARE RR |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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