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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Benjamin Reed Clark, O.D.

Optometrist in Wisconsin Rapids, WI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063612497

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Registry record

Entity type Individual (Type 1)
Name Benjamin Reed Clark
Credential O.D.
Sex Male
Practice address 1220 Parkwood Dr, Wisconsin Rapids, WI, 54494
Phone (715) 421-2111
Fax (715) 421-2123
Enumeration date Jul 24, 2007
Last updated in NPPES Dec 6, 2022

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 3087-035 (WI) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
38632200 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Benjamin Clark?
Benjamin Clark is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-06.