Douglas C Clark, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOUGLAS C CLARK, OD, INC

Doing business as

Pelham Eyecare

Practice address

2617 Pelham Pkwy
Pelham, AL 35124-1322

Phone

(205) 664-1575

Fax

(205) 664-1578

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Curtis Clark, O.D.NPI 1134111511

Title

Owner

Phone

(205) 664-1575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pelham Eyecare Doing business as

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.

• Douglas Curtis Clark, O.D.

  • Optometrist
  • Pelham, AL
  • NPI 1134111511
  Authorized official Same address or phone
• Cecil D Pavey

  • Optician
  • Clanton, AL
  • NPI 1568564169
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1699808295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241322",
            "telephone_number": "205-664-1575",
            "fax_number": "205-664-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241322",
            "telephone_number": "205-664-1575",
            "fax_number": "205-664-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C CLARK, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-664-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CK4910",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelham Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gena S Dismuke, M.S. CCC-SLP
• Divine Pediatrics, LLC
• Megan Leigh Siddens Doggett
• Julie Donachy, PT
• Ashley Rea Donahue, FNP
• Dr. James Paul Beretta, P.C.
• Dr. Keith Dillard DMD, PC
• Dr. Roderick C. White, LLC (Cahaba Wellness)
• Laura Ducote, CRNP
• Charles Anthony Duer, LPC

• Optometrist in Pelham, AL
• Providers in Pelham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.