Stephanie Lee Clark in Oakland - Optometrist
Stephanie Lee Clark - NPI 1730346172
Stephanie Lee Clark is a Optometrist in Oakland, California. Stephanie Lee Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephanie Lee Clark is 1730346172. The last update date is 2008-05-22.
Stephanie Lee Clark's current location address is 3205 Grand Ave, Oakland, California. You can contact this provider via phone number 5104440666 and fax number 5104632888. The mailing address for Stephanie Lee Clark is 3205 Grand Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Lee Clark |
|---|---|
| Address | 3205 Grand Ave, Oakland, California |
| Phone Number | 5104440666 |
| Fax Number | 5104632888 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1730346172 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 3205 Grand Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946102740 |
| Phone Number | 5104440666 |
| Fax Number | 5104632888 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 11869T |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie Lee Clark by the Centers for Medicare & Medicaid Services?
The Stephanie Lee Clark has been assigned the NPI (National Provider Identifier) 1730346172. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephanie Lee Clark?
The Stephanie Lee Clark is situated at 3205 Grand Ave, in the city of Oakland, state of CA, with the zip code 946102740.
What is Stephanie Lee Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephanie Lee Clark is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Stephanie Lee Clark receive its 1730346172 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie Lee Clark was assigned its 1730346172 by the Centers for Medicare & Medicaid Services on 2008-05-22.
As of what date were the details pertaining to Stephanie Lee Clark last refreshed?
The information related to the Stephanie Lee Clark, including its address, specialty, and other relevant details, was last updated on 2008-05-22.