Stephen Brent Clark in Rock Spring - Optometrist
Stephen Brent Clark - NPI 1952300832
Stephen Brent Clark is a Optometrist in Rock Spring, Georgia. Stephen Brent Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen Brent Clark is 1952300832. The last update date is 2010-07-22.
Stephen Brent Clark's current location address is 8390 North Hwy 27, Rock Spring, Georgia. You can contact this provider via phone number 7063751720 and fax number 7063751729. The mailing address for Stephen Brent Clark is 8390 North Hwy 27, Rock Spring, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Brent Clark |
|---|---|
| Address | 8390 North Hwy 27, Rock Spring, Georgia |
| Phone Number | 7063751720 |
| Fax Number | 7063751729 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1952300832 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2010-07-22 |
Provider Mailing Address Detail
| Address | 8390 North Hwy 27 |
|---|---|
| City | Rock Spring |
| State | Georgia (GA) |
| Post Code | 307392103 |
| Phone Number | 7063751720 |
| Fax Number | 7063751729 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD002478 |
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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 |
|---|---|---|---|
| 194699738A | GA | -- | |
| 1952569279 | GA | GROUP NPI | |
| 1952300832 | GA | BCBS | |
| 511G700557 | GA | MEDICARE | |
| 26-2355581 | GA | UHC |
Post Comment/ Review Below
What is the unique identification code assigned to Stephen Brent Clark by the Centers for Medicare & Medicaid Services?
The Stephen Brent Clark has been issued the NPI (National Provider Identifier) 1952300832. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen Brent Clark's physical address?
The Stephen Brent Clark is physically located at 8390 North Hwy 27, in the city of Rock Spring, GA, with the postal code 307392103.
What is the Stephen Brent Clark's area of specialization and corresponding taxonomy classification?
The Stephen Brent Clark's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952300832 to Stephen Brent Clark?
The Centers for Medicare & Medicaid Services originally issued the 1952300832 to Stephen Brent Clark on 2005-07-21.
When was the Stephen Brent Clark's information last updated?
The Stephen Brent Clark's information was last updated on 2010-07-22.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH