STEVEN JAMES CLARK, LD0001859 — NPI 1619197779 (Licensed & Credentialed Eye & Vision Service Providers — Technician

CMS-1500 Box 24J / 33a • NPI

1619197779

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

156FX1800X (CMS 96[5])

Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician

Box 32 Service Location & ZIP+4

4292 GRAY HWY, SUITE A, GRAY, GA, 31032

Official NPPES Practice Location

Practice Phone & Referral Fax

(478) 986-2384

Fax: (478) 986-2301

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619197779 (STEVEN JAMES CLARK, LD0001859) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619197779` (NPI-1 Individual Practitioner)
Provider / Legal Name	STEVEN JAMES CLARK, LD0001859
Plain-English Specialty	Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician NUCC Code: `156FX1800X` (Technician/Technologist, Optician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4292 GRAY HWY, SUITE A, GRAY, GA, 31032
Practice Telephone / Fax	Tel: (478) 986-2384 \| Fax: (478) 986-2301
Administrative Mailing Address	4292 GRAY HWY, GRAY, GA, 31032
Enumeration & Last Sync	Enumerated: 2007-04-30 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4292 GRAY HWY, SUITE A, GRAY, GA, 31032

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Plain-English Taxonomy & CMS Crosswalk (156FX1800X)

What Does Taxonomy Code 156FX1800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 156FX1800X translates to:
"Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 96[5] (Optician)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician/Technologist, Optician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STEVEN JAMES CLARK, LD0001859)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`156FX1800X` — Technician/Technologist, Optician Plain English: Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician	State: GA \| License: `LD0001859` \| Primary: Yes (Primary)

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STEVEN JAMES CLARK, LD0001859 (NPI #1619197779)