Gregory Alexander Clark, O.D.
Optometrist · Coon Rapids, MN
Gregory Alexander Clark, O.D. is an optometrist with a practice address in Coon Rapids, Minnesota, and NPI 1467521153, issued on Nov 7, 2006. Check the license (Minnesota 2806, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Gregory Alexander Clark
- Credential
- O.D.
- Primary taxonomy
- Optometrist 152W00000X
- License number
- 2806 MN
Self-reported in NPPES; status is on the state search - Practice location
- 12547 Riverdale Blvd NW, Coon Rapids, MN 55448
- Phone
- (763) 712-7761
- Enumerated
- Nov 7, 2006
- Record last updated
- Nov 29, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (763) 712-7787
- Medicaid ID
- 163474700 MN
- Medicare enrollment
- Enrolled (PECOS I20070413000410); accepts Medicare assignment
- Medical or professional school
- Illinois College Of Optometry At Chicago, 2001
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,142 in Minnesota → Look up another NPI →
Also registered at 12547 Riverdale Blvd NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Spring Romer, PHARM DPharmacist1770866865
Verify Gregory Alexander Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 2806Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $76.97
3 payments; by number, the most common kind was food and beverage; the largest payer was Johnson & Johnson Vision Care, Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Gregory Clark, O.D., Inc.Coon Rapids, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gregory Alexander Clark among 1,142 optometrist records in Minnesota
Gregory Alexander Clark, O.D. is one of 1,142 optometrist records with a practice address in Minnesota. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 52% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2001 · median 2008 among the 778 with a school on file
- Record last updated2012 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Minnesota
There are 1,142 optometrist records in Minnesota.
All 1,142 in Minnesota → Every provider in Coon Rapids → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Robert Dodge, O.D.Coon Rapids, MN 554481164424370
- Kara Johnson, ODCoon Rapids, MN 554481710079892
- Timothy Johnson, O.D.Coon Rapids, MN 554481871629170
- John Bockhaus, O. D.Blaine, MN 554491841326584
- Breann Forliti, O.D.Blaine, MN 554491265694715
- Tate Herman, ODPlymouth, MN 554471982895439
- Georgiann Jensen, O.D.Minneapolis, MN 554491134272586
- Nadia Khan, O.D.Plymouth, MN 554471235350745
Common questions
What is Gregory Alexander Clark, O.D.'s NPI number?
Gregory Alexander Clark, O.D.'s National Provider Identifier (NPI) is 1467521153, issued on Nov 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gregory Alexander Clark, O.D. located?
The NPPES record lists a practice address at 12547 Riverdale Blvd NW, Coon Rapids, MN, 55448. Phone: (763) 712-7761. Providers update this record themselves, so call before visiting.
How can I verify Gregory Alexander Clark, O.D.'s license?
NPPES lists Minnesota license number 2806, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.