Organization Active NPI

Ben P Clark OD PA

  • Optometrist
  • Murrells Inlet, SC
National Provider Identifier
1437312949
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1035 Issued in SC
Legal business name
BEN P CLARK OD PA
Practice address
12060 Hwy 17 Byp
Murrells Inlet, SC 29576-9401
Phone
(843) 357-2020
Fax
(843) 357-2021
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BEN P CLARK OD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Ben P Clark, ODNPI 1487626743
Title
Owner
Phone
(843) 357-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1035 SC Primary

Addresses

Primary practice location

12060 Hwy 17 Byp
Murrells Inlet, SC 29576-9401

Mailing address

PO Box 1307
Pawleys Island, SC 29585-1307
Phone (843) 237-7055

National Provider Directory

National Provider Directory
Part of
Ben P Clark OD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1437312949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295851307",
            "telephone_number": "843-237-7055",
            "fax_number": "843-357-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 HWY 17 BYP",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769401",
            "telephone_number": "843-357-2020",
            "fax_number": "843-357-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN P CLARK OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEN P CLARK OD PA",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-357-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.