Brian M Clark is a Optometrist in Louisville, Kentucky. Brian M Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brian M Clark is 1164686572. The last update date is 2010-10-20.
Brian M Clark's current location address is 7635 Shelbyville Rd, Louisville, Kentucky. You can contact this provider via phone number 5024238500 and fax number 5023390571. The mailing address for Brian M Clark is 7635 Shelbyville Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian M Clark |
|---|---|
| Address | 7635 Shelbyville Rd, Louisville, Kentucky |
| Phone Number | 5024238500 |
| Fax Number | 5023390571 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1164686572 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2010-10-20 |
Provider Mailing Address Detail
| Address | 7635 Shelbyville Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402225409 |
| Phone Number | 5024238500 |
| Fax Number | 5023390571 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1742DT |
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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 |
|---|---|---|---|
| P00850448 | RR MEDICARE | ||
| 7100113750 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brian M Clark by the Centers for Medicare & Medicaid Services?
The Brian M Clark has been issued the NPI (National Provider Identifier) 1164686572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brian M Clark is physically located?
The Brian M Clark is situated at the following address: 7635 Shelbyville Rd, Louisville, KY 402225409.
What is Brian M Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian M Clark's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When did the Brian M Clark receive its 1164686572?
The Brian M Clark was issued its 1164686572 on 2008-07-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Brian M Clark last refreshed?
The information related to the Brian M Clark, including its address, specialty, and other relevant details, was last updated on 2010-10-20.
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