NPPES file of Aug 9, 2026

Jackson Tyler Clark

Optometrist · Indianapolis, IN

Jackson Tyler Clark is an optometrist with a practice address in Indianapolis, Indiana, and NPI 1245022540, issued on May 21, 2025. Check the license (Indiana 18004592A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245022540
Name
Jackson Tyler Clark
Primary taxonomy
Optometrist 152W00000X
License number
18004592A IN
Self-reported in NPPES; status is on the state search
Practice location
6985 W 38TH St Ste 100, Indianapolis, IN 46254
Phone
(317) 243-0028
Enumerated
May 21, 2025
Record last updated
Jul 24, 2025
Medicare enrollment
Enrolled (PECOS I20250722001899); accepts Medicare assignment
Medical or professional school
Indiana University - School Of Optometry, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest optometrist records → All 1,578 in Indiana → Look up another NPI →

Also registered at 6985 W 38TH St Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelly Gelarden, O.D.Optometrist1821146697
  2. Shilpa Shah, O.D.Optometrist1336472661

Verify Jackson Tyler Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 18004592A    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Myeyedr Optometry OF Indiana LLCIndianapolis, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jackson Tyler Clark among 1,578 optometrist records in Indiana

Jackson Tyler Clark is one of 1,578 optometrist records with a practice address in Indiana. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 96% of them.

  • NPI issued2025 · 96% of these records are older, 2% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2025 · median 2008 among the 1,014 with a school on file
  • Record last updated2025 · 66% 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 Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Indiana

There are 1,578 optometrist records in Indiana.

All 1,578 in Indiana → Every provider in Indianapolis → Optometrist nationwide →

The 8 optometrist records with the nearest ZIP codes

  1. Claude Anderson, ODIndianapolis, IN 462541265574313
  2. Nim Bhavsar, O.D.Indianapolis, IN 462541487086468
  3. Marilyn Burich, ODIndianapolis, IN 462541679562359
  4. Joel Engelberg, ODIndianapolis, IN 462541639164015
  5. Kimberly Forniss, O.D.Indianapolis, IN 462541720036668
  6. Kelly Gelarden, O.D.Indianapolis, IN 462541821146697
  7. George Hasselbrinck, O.D.Indianapolis, IN 462541659380855
  8. Karyn Hasselbrinck, ODIndianapolis, IN 462541861401721

Common questions

What is Jackson Tyler Clark's NPI number?

Jackson Tyler Clark's National Provider Identifier (NPI) is 1245022540, issued on May 21, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jackson Tyler Clark located?

The NPPES record lists a practice address at 6985 W 38TH St Ste 100, Indianapolis, IN, 46254. Phone: (317) 243-0028. Providers update this record themselves, so call before visiting.

How can I verify Jackson Tyler Clark's license?

NPPES lists Indiana license number 18004592A, as entered by the provider. Search the Indiana 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.