Gary L. Clarke, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3220 Issued in OH

Legal business name

GARY L. CLARKE, INC.

Practice address

308 Silver Bridge PLZ
Gallipolis, OH 45631-1833

Phone

(740) 446-2525

Fax

(740) 446-4371

NPI assigned

Mar 24, 2008

Last updated

Apr 9, 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. Gary L Clarke, O.D.NPI 1043272388

Title

President

Phone

(740) 446-2525

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Gary L Clarke, O.D.

  • Optometrist
  • Gallipolis, OH
  • NPI 1043272388
  Authorized official Same address or phone

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1548432156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SILVER BRIDGE PLZ",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311833",
            "telephone_number": "740-446-2525",
            "fax_number": "740-446-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SILVER BRIDGE PLZ",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311833",
            "telephone_number": "740-446-2525",
            "fax_number": "740-446-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. CLARKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-446-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345700",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150144000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gallipolis Care, LLC (Arbors at Gallipolis)
• Gallipolis Chiropractic and Wellness Center
• Gallipolis City Schools
• Gallipolis City Schools
• Gallipolis Opco, LLC (Arbors at Gallipolis)
• Daniel Phillip Geisler, MD
• Lucas Georgandellis, M.D.
• Chelsea Gerena, DO
• Louis Arsenio Gerena, M.D.
• Gayatri Vijay Ghadvaje, MD

• Optometrist in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.