Amedco Arkansas PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMEDCO ARKANSAS PLLC

Doing business as

Clark Eye Clinic

Practice address

302 N. Phoenix Ave.
Clark Eye Clinic
Russellville,, AR 72801

Phone

(479) 967-4711

Fax

(479) 967-4485

NPI assigned

Mar 27, 2013

Last updated

Sep 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip H Clark, OD

Title

Owner (President)

Phone

(479) 967-4711

Specialties & licenses 1

Addresses

Other names 1

• Clark Eye Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Thomas Pierangeli, OD

  • Optometrist
  • Wauwatosa, WI
  • NPI 1982787552
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1184967291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NORTH PHOENIX AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-967-4711",
            "fax_number": "479-967-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N. PHOENIX AVE.",
            "address_2": "CLARK EYE CLINIC",
            "city": "RUSSELLVILLE,",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-967-4711",
            "fax_number": "479-967-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDCO ARKANSAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER (PRESIDENT)",
        "authorized_official_telephone_number": "479-967-4711",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Shalom Allinson, RD, LD
• Maria Alquisira
• Alternative Opportunities (Dayspring Behavioral Health of Russellville)
• Sheree E Alumbaugh
• Amcare Senior Life Partners, Inc
• American Oncology Partners, P.a. (Genesis Cancer and Blood Institute)
• Amy J S Daiber OD PA (Daiber Vision Care)
• Casey Anderson, RECOVERY ASSISTANT
• Jeana Corleen Anderson, MMT, CLT, CNHP
• Randall Alan Anderson, LPE-I

• Optometrist in Russellville, AR
• Providers in Russellville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.