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

Jeffrey Jay Clark, OD

Individual provider Optometrist · NPI 1053574657

Jeffrey Jay Clark, OD is an Optometry in Lancaster, California. Graduated from Southern California College of Optometry in 2008, 18 years ago. Practices with Antelope Valley Optometric Center, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2008
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

43927 15th St W
Lancaster, CA 93534-4758
Phone: (661) 948-6310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13495 (CA)

Record details

NPI number1053574657
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 3, 2008
Last updated in NPPESJuly 3, 2008
Mailing address43927 15th St W, Lancaster, CA 93534-4758

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2008 (18 years in practice)
Group practice Antelope Valley Optometric Center, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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