Clark Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001315 Issued in GA

Legal business name

CLARK EYECARE

Practice address

1101 Hillcrest Pkwy Ste F
Dublin, GA 31021-3598

Phone

(478) 274-0606

NPI assigned

Feb 20, 2013

Last updated

Feb 20, 2013By 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. Donald Clark, OD

Title

Owner

Phone

(478) 274-0606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1588904189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST PKWY STE F",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213598",
            "telephone_number": "478-274-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST PKWY STE F",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213598",
            "telephone_number": "478-274-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-274-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arunasree Chukkapalli, MD
• Eric Chung
• City of Excellence Emergency Physicians LLC
• City of Hope Heart and Vascular Center, LLC
• Richard K Clardy, D.M.D.
• Anthony Joe Clark, CRNA
• Donald R Clark, O.D.
• Doryn Roche Clark, PHARM.D
• Kara Elizabeth Clark, OD
• Linda Kay Clark, FNP,C

• Optometrist in Dublin, GA
• Providers in Dublin, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.