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

Jacob A Clark, MD

Individual provider Ophthalmology Physician · NPI 1164464806

Jacob A Clark, MD is an Ophthalmology in Alexandria, Virginia. Graduated from University of Puerto Rico School of Medicine in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
45
Trained at
University of Puerto Rico School of Medicine
Licensed in
VA
In the registry since
2006
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

411 N Washington St
Alexandria, VA 22314-2311
Phone: (703) 548-5588
Fax: (703) 549-1599
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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 0101041044 (VA)

Record details

NPI number1164464806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026
Mailing address2661 Riva Rd Ste 1030, Annapolis, MD 21401-7131

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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