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

Dr. Melvin Jerome Clark, MD

Individual provider Ophthalmology Physician · NPI 1093704751

Dr. Melvin Jerome Clark, MD is an Ophthalmology in Phoenix, Arizona. Graduated from University of Missouri, Kansas City, School of Medicine in 1987, 39 years ago. Practices with Dhhs IHS Phoenix Area, a 52-clinician group and accepts Medicare assignment. Licensed in Arizona and Minnesota.

Years since qualifying
39
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
AZ, MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 53852 (AZ)
Ophthalmology Physician Taxonomy 207W00000X · Licence 45197 (MN)

Record details

NPI number1093704751
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2005
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Dhhs Ihs Phoenix Area — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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