Clark Eye Care Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5388 Issued in FL

Legal business name

CLARK EYE CARE CENTER

Doing business as

Lentsch Eye Care

Practice address

810 NE 25TH Ave
Ocala, FL 34470

Phone

(352) 732-0046

NPI assigned

Oct 25, 2007

Last updated

May 22, 2019By 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

Matthew J Lentsch, ODNPI 1871020677

Title

Owner

Phone

(352) 732-0046

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lentsch Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Matthew Lentsch, OD

  • Optometrist
  • Ocala, FL
  • NPI 1871020677
  Medicare reassignment NPD Authorized official
• Christine E. Huxol, M.D.

  • Diagnostic Radiology Physician
  • Winchester, VA
  • NPI 1063502250
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1598944654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NE 25TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706335",
            "telephone_number": "352-732-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NE 25TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34470",
            "telephone_number": "352-732-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "LENTSCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-732-0046",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086895700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "DC2053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lentsch Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caterina Ciccone, ARNP
• Maria Cintron, CMT
• Brielle Cioni, APN
• Kiani Cirilo
• CKK Medical LLC
• Kelley Clark-Segovia, APRN
• Alec Cole Clark, MD
• Darlene Clark, APRN
• Emily Catherine Clark, MD
• James William Clark, D.M.D

• Optometrist in Ocala, FL
• Providers in Ocala, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.