James E Clark

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

850 Issued in GA

Legal business name

JAMES E CLARK

Practice address

105 S Hill St
Griffin, GA 30223-3401

Phone

(770) 227-2346

Fax

(770) 227-2453

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

James Earl Clark, O.D.

Title

Owner

Phone

(770) 227-2346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1982865879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240005",
            "telephone_number": "770-227-2346",
            "fax_number": "770-227-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S HILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233401",
            "telephone_number": "770-227-2346",
            "fax_number": "770-227-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-227-2346",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.