Jolynn Clark in Portland - Contact Lens Fitter

Jolynn Clark - NPI 1730347303

Jolynn Clark is a Contact Lens Fitter in Portland, Oregon. Jolynn Clark practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Jolynn Clark is 1730347303. The last update date is 2008-05-29.

Jolynn Clark's current location address is 19500 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5036693995 and fax number 5036693956. The mailing address for Jolynn Clark is 19500 Se Stark St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jolynn Clark
Address 19500 Se Stark St, Portland, Oregon
Phone Number 5036693995
Fax Number 5036693956
Sole Proprietor N
Credentials ABO, NCLE

NPI Number Detail

NPI Number 1730347303
Provider Enumeration Date 2008-05-29
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 19500 Se Stark St
City Portland
State Oregon (OR)
Post Code 972335757
Phone Number 5036693995
Fax Number 5036693956

Provider's Primary Taxonomy Detail

Speciality Contact Lens Fitter
Taxonomy 156Fc0801X
Definition:
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

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FAQs about Jolynn Clark

What is the unique 10-digit identification code issued to Jolynn Clark by the Centers for Medicare & Medicaid Services?

The Jolynn Clark has been assigned the NPI (National Provider Identifier) 1730347303 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Jolynn Clark?

The Jolynn Clark is physically situated at 19500 Se Stark St, in the city of Portland, state of OR, with the postal code 972335757.

What is Jolynn Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jolynn Clark's specialized field of practice is Contact Lens Fitter, and the corresponding taxonomy code that categorizes this area of specialization is 156Fc0801X.

When did Jolynn Clark receive its 1730347303 assignment?

The Jolynn Clark was assigned its 1730347303 on 2008-05-29, which is the date when this unique identifier was issued to the organization.

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

The information related to the Jolynn Clark, including its address, specialty, and other relevant details, was last updated on 2008-05-29.

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