P Praxis·MD
● Active Type 2 · Organization

Brel Clark,o.d.,p.c.

Optometrist·Columbus, GA· NPI 1962956359 · Enumerated 2016 · 9 years on NPI
Brel Clark,o.d.,p.c. is 1 of 2375 optometrist organizations in Georgia.
NPI age
9 years
Enumerated 2016-08-15
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Owner/optometrist
Last NPPES update
2016-08-15
Source: monthly bulk 2026-05

How this organization compares

Across 2375 active optometrist providers in Georgia.

NPI age
9 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
5279 Whittlesey Blvd Ste 100
Columbus, GA 319093073
📞 7064057308fax 7063244939
Mailing address
Po Box 4259
Columbus, GA 319140259
📞 7064057308fax 7063244939

Authorized official

Brel Clark, O.D.
Owner/optometrist
📞 7064057308

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...
    GA license #OPT000940 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (GA) 000229215G

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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