Marichris Lim Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003493 Issued in PA

Practice address

933 Baltimore Pike Ste 102
Glen Mills, PA 19342-1016

Phone

(215) 614-3869

Fax

(484) 841-2262

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Warby Parker Inc.

  • Eyewear Supplier
  • Philadelphia, PA
  • NPI 1679090765
  NPD (past)

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1225565997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WHALENS CT",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BALTIMORE PIKE STE 102",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421016",
            "telephone_number": "215-614-3869",
            "fax_number": "484-841-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023001",
            "country_code": "US",
            "telephone_number": "215-845-0987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9115 Strada Pl Unit 5110",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341082891",
            "country_code": "US",
            "telephone_number": "239-293-8552",
            "fax_number": "239-307-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Coulter Ave",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190032308",
            "country_code": "US",
            "telephone_number": "215-388-7084",
            "fax_number": "215-494-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARICHRIS",
        "middle_name": "LIM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003493",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5396",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00686200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Care Pennsylvania Inc
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• Christopher Clark, OTR/L
• Maureen K. Clark, CRNP
• Steven Brad Cohen, M.D.
• Ann W Coia, LPC
• Kaitlyn Colagreco
• Emma Lynn E Collina, RPH

• Optometrist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.