Christine D Clark in Bloomington - Vision Therapy

Christine D Clark - NPI 1043495179

Christine D Clark is a Vision Therapy in Bloomington, Illinois. Christine D Clark practices all healthcare services and medical treatments related to Vision Therapy. The NPI Number for Christine D Clark is 1043495179. The last update date is 2008-01-08.

Christine D Clark's current location address is 221 Woodland Ave, Bloomington, Illinois. You can contact this provider via phone number 3098245841. The mailing address for Christine D Clark is 221 Woodland Ave, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Christine D Clark
Address 221 Woodland Ave, Bloomington, Illinois
Phone Number 3098245841
Fax Number
Sole Proprietor Y
Credentials PH.D., TVI

NPI Number Detail

NPI Number 1043495179
Provider Enumeration Date 2008-01-08
Last Updated Date 2008-01-08

Provider Mailing Address Detail

Address 221 Woodland Ave
City Bloomington
State Illinois (IL)
Post Code 617015659
Phone Number 3098245841
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vision Therapy
Taxonomy 152Wv0400X
Licence No NON NUMBERED
Definition:
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or

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FAQs about Christine D Clark

What is the unique identification code assigned to Christine D Clark by the Centers for Medicare & Medicaid Services?

The Christine D Clark has been issued the NPI (National Provider Identifier) 1043495179. This 10-digit code 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 Christine D Clark is located?

The Christine D Clark is situated at the following address: 221 Woodland Ave, Bloomington, IL, 617015659.

What is Christine D 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 Christine D Clark is Vision Therapy, and the taxonomy classification code that categorizes this area of expertise is 152Wv0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043495179 to Christine D Clark?

The Centers for Medicare & Medicaid Services assigned the 1043495179 to Christine D Clark on 2008-01-08.

As of what date were the details pertaining to Christine D Clark last refreshed?

The information related to the Christine D Clark, including its address, specialty, and other relevant details, was last updated on 2008-01-08.

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