Dr. Stuart M. Clark, PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OEG000660 Issued in PA

Legal business name

DR. STUART M. CLARK, PC

Practice address

2209 Quarry Dr
Suite a-13,14
West Lawn, PA 19609-1155

Phone

(610) 685-2733

Fax

(610) 685-0939

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stuat M Clark, O.D.

Title

President

Phone

(610) 685-2733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1427323815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 QUARRY DR",
            "address_2": "SUITE A-13,14",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091155",
            "telephone_number": "610-685-2733",
            "fax_number": "610-685-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 QUARRY DR",
            "address_2": "SUITE A-13,14",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091155",
            "telephone_number": "610-685-2733",
            "fax_number": "610-685-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STUART M. CLARK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUAT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-685-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG000660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.