Jodi Lynn Clark in Redondo Beach - Optometrist
Jodi Lynn Clark - NPI 1053319673
Jodi Lynn Clark is a Optometrist in Redondo Beach, California. Jodi Lynn Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jodi Lynn Clark is 1053319673. The last update date is 2008-04-30.
Jodi Lynn Clark's current location address is 202 Via Mesa Grande, Redondo Beach, California. You can contact this provider via phone number 3103731624. The mailing address for Jodi Lynn Clark is 202 Via Mesa Grande, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Lynn Clark |
|---|---|
| Address | 202 Via Mesa Grande, Redondo Beach, California |
| Phone Number | 3103731624 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1053319673 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 202 Via Mesa Grande |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902776639 |
| Phone Number | 3103731624 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 9934T |
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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 |
|---|---|---|---|
| SD0099340 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jodi Lynn Clark by the Centers for Medicare & Medicaid Services?
The Jodi Lynn Clark has been assigned the NPI (National Provider Identifier) 1053319673 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jodi Lynn Clark?
The Jodi Lynn Clark is situated at 202 Via Mesa Grande, in the city of Redondo Beach, state of CA, with the zip code 902776639.
What is Jodi Lynn Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jodi Lynn Clark is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When was the Jodi Lynn Clark's 1053319673 issued?
The Jodi Lynn Clark's 1053319673 was issued on 2005-07-08.
As of what date was the information pertaining to Jodi Lynn Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jodi Lynn Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-30.