NPIMap

Organization Active NPI

Thomas G. Clark OD PC

  • Optometrist
  • Somerset, MA
National Provider Identifier
1306050190
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2932 Issued in MA
Legal business name
THOMAS G. CLARK OD PC
Practice address
44 Shawomet Ave
Somerset, MA 02726-4304
Phone
(508) 674-2383
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Thomas G Clark, OD
Title
President
Phone
(508) 674-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2932 MA Primary

Addresses

Primary practice location

44 Shawomet Ave
Somerset, MA 02726-4304

Mailing address

44 Shawomet Ave
Somerset, MA 02726-4304

National Provider Directory

National Provider Directory

Locations

44 Shawomet Ave
Somerset, MA 02726
Phone (508) 674-2383

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1306050190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SHAWOMET AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SHAWOMET AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264304",
            "telephone_number": "508-674-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. CLARK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-674-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.