Individual provider Active NPI

Christopher Andrew Clarke, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1447365176
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1178 Issued in TN
Practice address
2760 North Germatown Pkwy
Memphis, TN 38133
Phone
(901) 276-3538
Fax
(901) 722-3538
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1178 TN Primary

Addresses

Primary practice location

2760 North Germatown Pkwy
Memphis, TN 38133

Mailing address

217 Stonewall St
Memphis, TN 38112-5113
Phone (901) 276-3538

Other names 1

  • Dr. Andrew Clarke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000424 TN Practitioner - Optometry 7911004841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Richard C. Buck OD., PCGroup PAC ID 8921150566, 8 clinicians

Practice addresses (Care Compare)

7706 Winchester Rd
Suite 105
Memphis, TN 38125-2399
Phone (901) 752-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Richard C. Buck OD PC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Christopher Andrew Clarke Optometrist CurrentSince Jul 1, 1990 Accepting new patients
Visionworks, Inc Past Accepting new patients
Dr. Andrew Clarke & Assoc. Optometrist PastSince Jul 1, 1990 Accepting new patients

Locations

7706 Winchester Rd
Ste 105
Memphis, TN 38125
Phone (901) 752-1551

6022 Hickory Ridge Mall
Memphis, TN 38115
Phone (901) 233-7678

2760 N Germantown Pkwy
Memphis, TN 38133
Phone (901) 276-3538

2825 N Germantown Pkwy
Ste 103
Memphis, TN 38133
Phone (901) 381-1522

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1447365176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 STONEWALL ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125113",
            "telephone_number": "901-276-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 NORTH GERMATOWN PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38133",
            "telephone_number": "901-276-3538",
            "fax_number": "901-722-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "CLARKE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.