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

Dr. Richard Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184477085

Dr. Richard Clark is an Optometry in Long Beach, Mississippi. Graduated from Southern College of Optometry in 2024, 2 years ago. Practices with Long Beach Precision Vision LLC, a 2-clinician group. Licensed in Mississippi.

Years since qualifying
2
Trained at
Southern College of Optometry
Licensed in
MS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

202 E Railroad St
Long Beach, MS 39560-4627
Phone: (228) 686-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1096 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184477085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address5121 Mitchell Rd, Long Beach, MS 39560-3201

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Long Beach Precision Vision Llc — 2 clinicians
Accepts Medicare assignment Not indicated