Lori J Clark Od in Manhattan Beach - Optometrist
Lori J Clark Od - NPI 1396884771
Lori J Clark Od is a Optometrist in Manhattan Beach, California. Lori J Clark Od practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lori J Clark Od is 1396884771. The last update date is 2020-08-22.
Lori J Clark Od's current location address is 1145 Manhattan Ave, Manhattan Beach, California. You can contact this provider via phone number 3105464618 and fax number 3105469268. The mailing address for Lori J Clark Od is 1145 Manhattan Ave, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lori J Clark Od |
|---|---|
| Address | 1145 Manhattan Ave, Manhattan Beach, California |
| Phone Number | 3105464618 |
| Fax Number | 3105469268 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark J Lori |
| Credentials | OD |
| Telephone Number | 3105464618 |
NPI Number Detail
| NPI Number | 1396884771 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1145 Manhattan Ave |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 902665333 |
| Phone Number | 3105464618 |
| Fax Number | 3105469268 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OP8950T |
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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 |
|---|---|---|---|
| SD0089501 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lori J Clark Od by the Centers for Medicare & Medicaid Services?
The Lori J Clark Od has been assigned the NPI (National Provider Identifier) 1396884771. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lori J Clark Od's physical address?
The Lori J Clark Od is physically located at 1145 Manhattan Ave, in the city of Manhattan Beach, CA, with the postal code 902665333.
What is Lori J Clark Od's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lori J Clark Od is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396884771 to Lori J Clark Od?
The Centers for Medicare & Medicaid Services assigned the 1396884771 to Lori J Clark Od on 2007-02-05.
As of what date was the information pertaining to Lori J Clark Od, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lori J Clark Od, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA