Nancy Coppic Clark OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000028 Issued in VA

Legal business name

NANCY COPPIC CLARK OD

Doing business as

Nancy Coppic Clark OD

Practice address

123 Deer Run Rd
Danville, VA 24540-2863

Phone

(434) 793-6912

Fax

(434) 799-8641

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Coppic Clark, O.D.

Title

President

Phone

(434) 793-6912

Specialties & licenses 1

Addresses

Other names 1

• Nancy Coppic Clark OD Doing business as

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1447218524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DEER RUN RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402863",
            "telephone_number": "434-793-6912",
            "fax_number": "434-799-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DEER RUN RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402863",
            "telephone_number": "434-793-6912",
            "fax_number": "434-799-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY COPPIC CLARK OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "COPPIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-793-6912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy Coppic Clark OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Frances Anne Neal, RN
• Randolph V Neal, MD
• Negril, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.