Jodi L. Clark O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9934T Issued in CA

Legal business name

JODI L. CLARK O.D.

Practice address

17001 Hawthorne Blvd
Suite B
Lawndale, CA 90260-3302

Phone

(310) 370-3360

NPI assigned

May 6, 2008

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Lynn Clark, O.D.NPI 1053319673

Title

Optometrist

Phone

(310) 370-3360

Specialties & licenses 1

Addresses

Locations

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.

• Jodi Lynn Clark, O.D.

  • Optometrist
  • Lawndale, CA
  • NPI 1053319673
  NPD (past) Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1538335864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17001 HAWTHORNE BLVD",
            "address_2": "SUITE B",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603302",
            "telephone_number": "310-370-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 HAWTHORNE BLVD",
            "address_2": "SUITE B",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603302",
            "telephone_number": "310-370-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI L. CLARK O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-370-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9934T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason H. Ta, DMD, Inc.
• Jehovah-Jireh Medical Supplies Inc.
• Jerry a Okonkwoaguolu MD (Jeremiah A. O. Aguolu MD)
• Laura Lonwah Jin
• Sangsik Jin, L.AC.
• Robert T Johnson, MASSAGE LICENSE
• Autumn Jones
• Brenda Jordan
• Jourabchi Dental Inc (Hawthorne Orthodontics)
• Norman M Kajikawa, D.D.S

• Optometrist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.