Kevin Landis Clark in El Paso - Optometrist
Kevin Landis Clark - NPI 1891859278
Kevin Landis Clark is a Optometrist in El Paso, Texas. Kevin Landis Clark practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin Landis Clark is 1891859278. The last update date is 2007-07-08.
Kevin Landis Clark's current location address is 11604 Coleen Way, El Paso, Texas. You can contact this provider via phone number 9155936205 and fax number 9155928868. The mailing address for Kevin Landis Clark is 11604 Coleen Way, El Paso, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Landis Clark |
|---|---|
| Address | 11604 Coleen Way, El Paso, Texas |
| Phone Number | 9155936205 |
| Fax Number | 9155928868 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1891859278 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11604 Coleen Way |
|---|---|
| City | El Paso |
| State | Texas (TX) |
| Post Code | 799366922 |
| Phone Number | 9155936205 |
| Fax Number | 9155928868 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4070T |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Landis Clark?
The Kevin Landis Clark has been issued the NPI (National Provider Identifier) 1891859278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kevin Landis Clark is located?
The Kevin Landis Clark is situated at the following address: 11604 Coleen Way, El Paso, TX, 799366922.
What is Kevin Landis 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 Kevin Landis 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 issue the 1891859278 to Kevin Landis Clark?
The Kevin Landis Clark received its 1891859278 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date were the details related to Kevin Landis Clark most recently updated or revised?
The information pertaining to Kevin Landis Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.