Michael Clark is a Optometrist in Mount Airy, North Carolina. Michael Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael Clark is 1851373252. The last update date is 2014-01-08.
Michael Clark'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 Michael Clark is 602 S Renfro St, Mount Airy, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Clark |
|---|---|
| Address | 602 S Renfro St, Mount Airy, North Carolina |
| Phone Number | 3367899031 |
| Fax Number | 3367898343 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1851373252 |
|---|---|
| Provider Enumeration Date | 2005-11-19 |
| Last Updated Date | 2014-01-08 |
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 | 200001250552 |
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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 |
|---|---|---|---|
| 580000014 | NC | PALMETTO GBA--RAILROAD MEDICAR | |
| 1409898 | NC | UNITED MINE WORKERS | |
| 5612703280002 | CIGNA | ||
| 8909154 | NC | -- | |
| 013MW | NC | BCBS OF NC PROVIDER # | |
| 3739 | BLUE MEDICARE HMO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Clark by the Centers for Medicare & Medicaid Services?
The Michael Clark has been issued the NPI (National Provider Identifier) 1851373252, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael Clark is located?
The Michael Clark is situated at the following address: 602 S Renfro St, Mount Airy, NC, 270304742.
What is the area of specialization for Michael Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Clark is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date was the 1851373252 assigned to Michael Clark?
The Michael Clark was issued its 1851373252 on 2005-11-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michael Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-08.