Todd M. Clark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4992 Issued in OH

Legal business name

TODD M. CLARK, OD

Practice address

550 S Cleveland Ave Ste D
Westerville, OH 43081-8958

Phone

(614) 839-2733

Fax

(614) 839-5367

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Lucinda Anderson, O.D.

Title

Billing Manager

Phone

(941) 828-3641

Specialties & licenses 1

Addresses

Other names 1

• IMAGE OPTICAL Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Mathew Clark, O.D.

  • Optometrist
  • Westerville, OH
  • NPI 1831214196
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1114195559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S CLEVELAND AVE STE D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818958",
            "telephone_number": "614-839-2733",
            "fax_number": "614-839-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CLEVELAND AVE STE D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818958",
            "telephone_number": "614-839-2733",
            "fax_number": "614-839-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD M. CLARK, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "941-828-3641",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGE OPTICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy L Timko, M.D.
• Timothy K Buchanan MD Inc
• Caitlyn Timpe, RBT
• Chase Brooks Tipsword, MAT, ATC, CES
• Jared Kai Tirado
• Sally Ann Todhunter, MHS,P.T.
• Jessyca Toland
• Regina Tolliver, CNP
• Anna Marie Tomosky, PA-C
• Christina Margaret Toncic Gold, P.T.

• Optometrist in Westerville, OH
• Providers in Westerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.