Tilden David Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000775 Issued in VA

Practice address

6485 Warwick Cir
Alexandria, VA 22315-3662

Phone

(703) 971-9726

NPI assigned

Nov 5, 2007

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

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Daniel Poth, O.D. and Associates, P.C.

  • Optometrist
  • Vienna, VA
  • NPI 1154354041

  DC

  Medicare reassignment NPD
• Daniel Poth, O.D. and Associates, P.C.

  • Eyewear Supplier
  • Fairfax, VA
  • NPI 1093459182

  Optometrist

  NPD
• Weinstein Eye Associates LLC

  • Optometrist
  • Upper Marlboro, MD
  • NPI 1558529305
  NPD
• Weinstein Eye Associates LLC

  • Optometrist
  • Odenton, MD
  • NPI 1922124072
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1386824555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 WARWICK CIR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153662",
            "telephone_number": "703-971-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 WARWICK CIR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153662",
            "telephone_number": "703-971-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TILDEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob A Clark, MD
• Kerry Clark, APRN, AGNP-BC
• Laurence J Clark, MD
• Sarah Clark, BCBA
• Thomas H Clark, MD
• Aaliyah Clarke
• Cynthia Clarke, PT
• Judith Ryan Clary, PA
• Classic Nurses Services Inc
• Classic Nurses Services Inc.

• Optometrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.