Linda Jean Clark is a Optometrist in Goshen, Indiana. Linda Jean Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Linda Jean Clark is 1013061803. The last update date is 2015-02-02.
Linda Jean Clark's current location address is 1765 Stafford Court, Goshen, Indiana. You can contact this provider via phone number 5745334910 and fax number 5745343479. The mailing address for Linda Jean Clark is 1765 Stafford Court, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Linda Jean Clark |
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Address | 1765 Stafford Court, Goshen, Indiana |
Phone Number | 5745334910 |
Fax Number | 5745343479 |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1013061803 |
---|---|
Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2015-02-02 |
Provider Mailing Address Detail
Address | 1765 Stafford Court |
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City | Goshen |
State | Indiana (IN) |
Post Code | 465266542 |
Phone Number | 5745334910 |
Fax Number | 5745343479 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 18002119 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100112880A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Linda Jean Clark by the Centers for Medicare & Medicaid Services?
The Linda Jean Clark has been issued the NPI (National Provider Identifier) 1013061803, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Linda Jean Clark?
The Linda Jean Clark is physically situated at 1765 Stafford Court, in the city of Goshen, state of IN, with the postal code 465266542.
What is Linda Jean Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Linda Jean Clark's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Linda Jean Clark receive the assignment of its 1013061803 from the Centers for Medicare & Medicaid Services?
The Linda Jean Clark was issued its 1013061803 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information pertaining to Linda Jean Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Linda Jean Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-02.
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