NPIMap

Organization Active NPI

Thomas H Clark PC

  • Optometrist
  • Williston, VT
National Provider Identifier
1700212438
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMAS H CLARK PC
Practice address
33 Blair Park Rd
#101
Williston, VT 05495-7587
Phone
(802) 862-1947
Fax
(802) 878-4874
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Thomas Harold Clark, OD
Title
Owner
Phone
(802) 862-1947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

33 Blair Park Rd
#101
Williston, VT 05495-7587

Mailing address

33 Blair Park Rd
#101
Williston, VT 05495-7587
Phone (802) 862-1947

National Provider Directory

National Provider Directory

Locations

33 Blair Park Rd
#101
Williston, VT 05495
Phone (802) 862-1947

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1700212438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BLAIR PARK RD",
            "address_2": "#101",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957587",
            "telephone_number": "802-862-1947",
            "fax_number": "802-878-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLAIR PARK RD",
            "address_2": "#101",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957587",
            "telephone_number": "802-862-1947",
            "fax_number": "802-878-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H CLARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-862-1947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.