Melvin Jerome Clark in Pasadena - Ophthalmology
Melvin Jerome Clark - NPI 1093704751
Melvin Jerome Clark is a Ophthalmology in Pasadena, California. Melvin Jerome Clark practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Melvin Jerome Clark is 1093704751. The last update date is 2012-08-13.
Melvin Jerome Clark's current location address is Po Box 31001-0698, Pasadena, California. You can contact this provider via phone number 6022631200. The mailing address for Melvin Jerome Clark is Po Box 31001-0698, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melvin Jerome Clark |
|---|---|
| Address | Po Box 31001-0698, Pasadena, California |
| Phone Number | 6022631200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093704751 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2012-08-13 |
Provider Mailing Address Detail
| Address | Po Box 31001-0698 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911100698 |
| Phone Number | 6022631200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 45197 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique 10-digit identification code issued to Melvin Jerome Clark by the Centers for Medicare & Medicaid Services?
The Melvin Jerome Clark has been assigned the NPI (National Provider Identifier) 1093704751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Melvin Jerome Clark's facilities are situated?
The facilities of Melvin Jerome Clark are physically located at the following address: Po Box 31001-0698, Pasadena, CA, 911100698.
What is Melvin Jerome Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Melvin Jerome Clark is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did Melvin Jerome Clark receive its 1093704751 assignment from the Centers for Medicare & Medicaid Services?
The Melvin Jerome Clark was assigned its 1093704751 on 2005-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Melvin Jerome Clark most recently updated or revised?
The information pertaining to Melvin Jerome Clark, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-13.