Clark Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005491 Issued in NY

Legal business name

CLARK OPTOMETRY, P.C.

Doing business as

Clark Eye Care Center

Practice address

81 North St
Geneva, NY 14456-1737

Phone

(315) 781-2650

Fax

(315) 781-1970

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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. John D. Clark, O.D.NPI 1437213907

Title

Presidentceo

Phone

(315) 781-2650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clark Eye Care Center Doing business as

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.

• John D. Clark, O.D.

  • Optometrist
  • Geneva, NY
  • NPI 1437213907
  Authorized official Same address or phone

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609900711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561737",
            "telephone_number": "315-781-2650",
            "fax_number": "315-781-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561737",
            "telephone_number": "315-781-2650",
            "fax_number": "315-781-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENTCEO",
        "authorized_official_telephone_number": "315-781-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100190CS",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Orthotic and Prosthetic Care of North Carolina, Inc
• Nicole Chappell, LMSW
• Sean Michael Childs, MD
• Kelly Christensen, OTD, OTR/L
• Colleen Cincotta, PMHNP
• John D. Clark, O.D.
• Patricia W Cochrane, BS, RN, CDE
• Shawna L Coffin
• Deborah Cole-Wenderlich, LCSW-R
• Craig Collins, MD

• Optometrist in Geneva, NY
• Providers in Geneva, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.