Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Maurice Allan Clark, OD

Individual provider Optometrist · NPI 1770543092

Dr. Maurice Allan Clark, OD is an Optometry in Tupelo, Mississippi. Graduated from University of Missouri St Louis - School of Optometry in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
22
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MS, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

499 Gloster Creek Vlg Ste F3
Tupelo, MS 38801-4631
Phone: (662) 350-3676
Fax: (662) 269-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 730 (MS)
Optometrist Taxonomy 152W00000X · Licence 2577 (TN)

Record details

NPI number1770543092
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 23, 2006
Last updated in NPPESOctober 31, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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