Philip H Clark is a Optometrist in Russellville, Arkansas. Philip H Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Philip H Clark is 1548221013. The last update date is 2014-07-08.
Philip H Clark's current location address is 302 N Phoenix Ave, Russellville, Arkansas. You can contact this provider via phone number 4799674711 and fax number 4799674485. The mailing address for Philip H Clark is 302 N Phoenix Ave, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip H Clark |
|---|---|
| Address | 302 N Phoenix Ave, Russellville, Arkansas |
| Phone Number | 4799674711 |
| Fax Number | 4799674485 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1548221013 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2014-07-08 |
Provider Mailing Address Detail
| Address | 302 N Phoenix Ave |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728012828 |
| Phone Number | 4799674711 |
| Fax Number | 4799674485 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2042 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104322722 | AR | -- | |
| 710526411 | AR | TAX ID |
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What is the unique identifier code issued to Philip H Clark by the Centers for Medicare & Medicaid Services?
The Philip H Clark has been assigned the NPI (National Provider Identifier) 1548221013. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Philip H Clark located?
The Philip H Clark is located at 302 N Phoenix Ave, Russellville, AR 728012828.
What is the area of specialization for Philip H Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Philip H Clark is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548221013 to Philip H Clark?
The Centers for Medicare & Medicaid Services assigned the 1548221013 to Philip H Clark on 2006-03-31.
When was the information related to Philip H Clark most recently updated or refreshed?
The details pertaining to the Philip H Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-07-08.
NPI Number: 1619974581
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