Anthony Ronald Clark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1360 Issued in NC

Practice address

2216 E NC Highway 54
Durham, NC 27713-2208

Phone

(919) 544-2020

Fax

(919) 433-0298

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.clark@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clark Optometric Center of SC, P.a.

  • Optometrist
  • Simpsonville, SC
  • NPI 1063981900
  NPD Authorized official
• Family Eyecare of Apex OD, PA

  • Low Vision Rehabilitation Optometrist
  • Apex, NC
  • NPI 1669709978
  NPD (past)
• Goldsboro Eye Clinic PLLC

  • Ophthalmology Physician
  • Goldsboro, NC
  • NPI 1558482695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1003862210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132208",
            "telephone_number": "919-544-2020",
            "fax_number": "919-433-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132208",
            "telephone_number": "919-544-2020",
            "fax_number": "919-433-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANTHONY",
        "middle_name": "RONALD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Joseph Clark-Randall, MD
• Celia P Clark-Randall, IBCLC
• Alexandria Morgan Clark, MD
• Allison Clark, LCMHC
• Annette Aldridge Clark, CPNP
• Brandy Hunter Clark, PMHNP-BC
• Brittiany L Clark
• Caitlin Marie Clark, FNP
• Clayton Michael Clark
• David James Clark, D.C.

• Optometrist in Durham, NC
• Providers in Durham, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.