Christopher N Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1528 Issued in AZ

Practice address

2840 Highway 95 Ste 505
Bullhead City, AZ 86442-7793

Phone

(928) 758-1450

Fax

(928) 758-1683

NPI assigned

Sep 5, 2006

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Eyecare, P.C.

  • Optometrist
  • Bullhead City, AZ
  • NPI 1003030974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1568564896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MAJESTIC WAY",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428767",
            "telephone_number": "528-758-1450",
            "fax_number": "528-758-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 HIGHWAY 95 STE 505",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427793",
            "telephone_number": "928-758-1450",
            "fax_number": "928-758-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasol Choi, PHARMD
• Ihtisham Choudhry, MD
• Marian Bautista Cid, R.N., A.N.P.
• Rodrigo Maramba Cid, A.N.P.
• Clark Eyecare, P.C.
• Lindsie Collins, RN
• Colorado River Eye Care, PC
• Colorado River Radiology PC
• Colorado River Union High School District #2
• Community Medical Services IV LLC

• Optometrist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.