DR. CHRISTINE D CLARK (NPI# 1043495179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043495179 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE D CLARK |
| Credential | PH.D., TVI, DTV |
| Practice Address |
221 Woodland Ave Bloomington IL 61701-5659 |
| Practice Telephone | 3098245841 |
| Mailing Telephone | 3098245841 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
NON NUMBERED LIC | UT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
| 1063963395 | Christine Michelle Clark | Counselor | 6321 Terra Rosa Cir, Boynton Beach, FL 33472-5144 | 2016-10-21 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1538588900 | Christine Clark | Physical Therapist | 403 Bryant St, Stroudsburg, PA 18360-2303 | 2014-04-14 |
| 1104256734 | Christine Clark | Registered Nurse | 6 Mount Cook Ave, Farmingville, NY 11738-2023 | 2013-11-18 |
| 1144573783 | Christine A Clark | Licensed Practical Nurse | 11 Evelyn Ct, Manorville, NY 11949-2851 | 2012-10-19 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1548876097 | Christine Clark | Nurse Practitioner | 1440 Broadway, New York, NY 10018-2301 | 2020-09-21 |
| 1063046068 | Christine M Clark | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-28 |
| 1326690421 | Christine Marie Clark | Occupational Therapist | 4707 140th Ave N Ste 313, Clearwater, FL 33762-3841 | 2019-07-10 |
| Street Address |
221 WOODLAND AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134333693 | Lori Louise Mowbray | Optometrist | 1650 W 82nd St, #800, Bloomington, MN 55431-1419 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962639781 | Plano Child Development Center | Optometrist | 5401 S Wentworth Ave Ste 14a, Chicago, IL 60609-6300 | 2009-06-18 |
| 1932352994 | Developmental Vision Center | Optometrist | 2075 Wiesbrook Rd, Oswego, IL 60543-8312 | 2008-11-03 |
| 1881812162 | Dr Neil W Margolis Od PC | Optometrist | 3250 N. Arlington Heights Rd, Suite 109, Arlington Heights, IL 60004-1534 | 2007-04-23 |
| 1821196114 | Jeffrey H. Getzell | Optometrist | 1740 N. Ridge Ave., Ste. 100-b, Evanston, IL 60201-5918 | 2006-09-20 |
| 1750330411 | Vision Salon Eye Care Associates | Optometrist | 13046 Western Ave, Blue Island, IL 60406-2419 | 2006-05-09 |
| 1851741714 | Brain-eye Evolution At 730 North | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2016-06-21 |
| 1760849681 | Dynamic Center for Vision Therapy, P.C. | Optometrist | 1891 Bay Scott Cir, Suite 109, Naperville, IL 60540-1137 | 2016-01-22 |
| 1851786214 | Vision Development and Rehabilitation Consultants LLC | Optometrist | 360 S Waukegan Rd, Suite A2, Deerfield, IL 60015-5653 | 2015-04-02 |
| 1982982385 | Clarendon Vision Development Center | Optometrist | 103 Ogden Ave, Clarendon Hills, IL 60514-1027 | 2011-08-02 |
| 1912209768 | Family Vision Therapy PC | Optometrist | 444 N Eola Rd, #105, Aurora, IL 60502-9615 | 2010-11-30 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on DR. CHRISTINE D CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.