Benjamin Reed Clark in Wisconsin Rapids - Optometrist
Benjamin Reed Clark - NPI 1063612497
Benjamin Reed Clark is a Optometrist in Wisconsin Rapids, Wisconsin. Benjamin Reed Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Benjamin Reed Clark is 1063612497. The last update date is 2022-12-06.
Benjamin Reed Clark's current location address is 1220 Parkwood Dr, Wisconsin Rapids, Wisconsin. You can contact this provider via phone number 7154212111 and fax number 7154212123. The mailing address for Benjamin Reed Clark is 1220 Parkwood Dr, Wisconsin Rapids, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Reed Clark |
|---|---|
| Address | 1220 Parkwood Dr, Wisconsin Rapids, Wisconsin |
| Phone Number | 7154212111 |
| Fax Number | 7154212123 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1063612497 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2022-12-06 |
Provider Mailing Address Detail
| Address | 1220 Parkwood Dr |
|---|---|
| City | Wisconsin Rapids |
| State | Wisconsin (WI) |
| Post Code | 544945488 |
| Phone Number | 7154212111 |
| Fax Number | 7154212123 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3087-035 |
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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 |
|---|---|---|---|
| 38632200 | WI | -- |
Post Comment/ Review Below
What is the Benjamin Reed Clark's unique identification number?
The Benjamin Reed Clark has been assigned the NPI (National Provider Identifier) Number 1063612497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Benjamin Reed Clark's facilities are situated?
The facilities of Benjamin Reed Clark are physically located at the following address: 1220 Parkwood Dr, Wisconsin Rapids, WI, 544945488.
What is Benjamin Reed Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Benjamin Reed Clark is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063612497 to Benjamin Reed Clark?
The Centers for Medicare & Medicaid Services originally issued the 1063612497 to Benjamin Reed Clark on 2007-07-24.
As of what date were the details related to Benjamin Reed Clark most recently updated or revised?
The information pertaining to Benjamin Reed Clark, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-06.