Alan Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9523T Issued in CA

Practice address

644 San Antonio Rd
Mountain View, CA 94040-1304

Phone

(650) 948-3260

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yk Optometry, Inc.

  dba Eye Sight Solutions Optometry

  • Corneal and Contact Management Optometrist
  • Mountain View, CA
  • NPI 1588179857
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275689689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 SAN ANTONIO RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401304",
            "telephone_number": "650-948-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 SAN ANTONIO RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401304",
            "telephone_number": "650-948-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9523T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoonkyung Chung, MED, MS, LPC
• Penelope Cifuentes, MA, PPS
• Cirby Holdings LLC (Mountain View Healthcare Center)
• City of Mountain View
• Clarity Speech Therapy, Inc.
• Ashley Katherine Clark, MD, MAS
• F Landon Clark, MD MPH
• Hannah R Clark, PT
• Judson Clark
• Madeleine Clark

• Optometrist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.