Dr Michael Clark Optometrist Pa in Mount Airy - Optometrist
Dr Michael Clark Optometrist Pa - NPI 1407936008
Dr Michael Clark Optometrist Pa is a Optometrist in Mount Airy, North Carolina. Dr Michael Clark Optometrist Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dr Michael Clark Optometrist Pa is 1407936008. The last update date is 2013-03-21.
Dr Michael Clark Optometrist Pa's current location address is 602 S Renfro St, Mount Airy, North Carolina. You can contact this provider via phone number 3367899031 and fax number 3367898343. The mailing address for Dr Michael Clark Optometrist Pa is 602 S Renfro St, Mount Airy, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Michael Clark Optometrist Pa |
|---|---|
| Address | 602 S Renfro St, Mount Airy, North Carolina |
| Phone Number | 3367899031 |
| Fax Number | 3367898343 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Clark Michael |
| Credentials | OD |
| Telephone Number | 3367899031 |
NPI Number Detail
| NPI Number | 1407936008 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 602 S Renfro St |
|---|---|
| City | Mount Airy |
| State | North Carolina (NC) |
| Post Code | 270304742 |
| Phone Number | 3367899031 |
| Fax Number | 3367898343 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 884 |
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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 |
|---|---|---|---|
| 89013MW | NC | -- | |
| 3739 | NC | BLUE MEDICARE HMO | |
| 1409898 | UNITED MINE WORKERS | ||
| 9203311 | VA | VIRGINIA MEDICAID | |
| 013MW | NC | BCBS OF NC | |
| 580000014 | NC | PALMETTO GBA--RAILROAD MEDICAR |
Post Comment/ Review Below
What is the Dr Michael Clark Optometrist Pa's unique identification number?
The Dr Michael Clark Optometrist Pa has been assigned the NPI (National Provider Identifier) Number 1407936008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dr Michael Clark Optometrist Pa located?
The Dr Michael Clark Optometrist Pa is located at 602 S Renfro St, Mount Airy, NC 270304742.
What is the Dr Michael Clark Optometrist Pa's specialty and taxonomy code?
The Dr Michael Clark Optometrist Pa's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did Dr Michael Clark Optometrist Pa receive its 1407936008 assignment from the Centers for Medicare & Medicaid Services?
The Dr Michael Clark Optometrist Pa was assigned its 1407936008 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Dr Michael Clark Optometrist Pa most recently updated or refreshed?
The details pertaining to the Dr Michael Clark Optometrist Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-21.