Scott Clark is a Optometrist in Beverly, Massachusetts. Scott Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Scott Clark is 1205903754. The last update date is 2020-04-20.
Scott Clark's current location address is 491 Rantoul St, Beverly, Massachusetts. You can contact this provider via phone number 5089224732. The mailing address for Scott Clark is 491 Rantoul St, Beverly, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Clark |
|---|---|
| Address | 491 Rantoul St, Beverly, Massachusetts |
| Phone Number | 5089224732 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1205903754 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-04-20 |
Provider Mailing Address Detail
| Address | 491 Rantoul St |
|---|---|
| City | Beverly |
| State | Massachusetts (MA) |
| Post Code | 19153231 |
| Phone Number | 5089224732 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3055 |
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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 |
|---|---|---|---|
| 40857 | MA | FALLON | |
| 3055 | MA | TUFTS | |
| W15719 | MA | BCBS | |
| DM9725 | MA | HPHC | |
| 353442 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Scott Clark by the Centers for Medicare & Medicaid Services?
The Scott Clark has been assigned the NPI (National Provider Identifier) 1205903754 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Scott Clark is physically located?
The Scott Clark is physically situated at the following address: 491 Rantoul St, Beverly, MA, 19153231.
What is the Scott Clark's specialty and taxonomy code?
The Scott Clark's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Scott Clark receive the assignment of its 1205903754 from the Centers for Medicare & Medicaid Services?
The Scott Clark was issued its 1205903754 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the details related to Scott Clark most recently updated or revised?
The information pertaining to Scott Clark, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-20.