DR. LORI J CLARK (NPI# 1073575213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073575213 |
| Entity Type | Individual |
| Full Name | DR. LORI J CLARK |
| Credential | O.D. |
| Practice Address |
1145 Manhattan Ave Manhattan Beach CA 90266-5333 |
| Practice Telephone | 3105464618 |
| Practice Fax Number | 3105469268 |
| Mailing Telephone | 3105464618 |
| Mailing Fax Number | 3105469268 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OP8950T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0089501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347612 | Lori Clark | Contractor | 4487 Trail St, Norco, CA 92860-2487 | 2016-03-04 |
| 1558731273 | Lori Clark | Pharmacist | 720 E Hwy 74 Business, Rockingham, NC 28379-0000 | 2015-10-07 |
| 1912335571 | Lori A Clark | Registered Nurse | 3417 Carman Rd, Schenectady, NY 12303-5319 | 2013-10-17 |
| 1649493255 | Lori Karin Clark | Chiropractor | 2309 Rt 541, Burlington, NJ 08016 | 2007-04-11 |
| 1437274982 | Lori Ann Clark | Physical Therapy Assistant | Old Midland Trail-rt. 60, Ansted, WV 25812 | 2007-03-20 |
| 1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
| 1376040493 | Lori Renee Clark | Dietitian, Registered | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-04-06 |
| 1912330275 | Lori Johnson Clark | Pharmacist | 300 Twining St, Montgomery, AL 36112-6027 | 2013-08-09 |
| 1326359860 | Lori Ellen Clark | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2010-06-30 |
| 1114258530 | Lori Damon Clark | Occupational Therapy Assistant | 216 Main Street, Lake Village, AR 71653 | 2010-01-25 |
| Street Address |
1145 MANHATTAN AVE |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869257 | Lori J Clark, O.d. Inc, An Optometric Corporation | Optometrist | 1145 Manhattan Ave, Manhattan Beach, CA 90266-5333 | 2019-03-05 |
| 1396884771 | Lori J Clark Od | Optometrist | 1145 Manhattan Ave, Manhattan Beach, CA 90266-5333 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265881965 | Look Optometry Inc | Optometrist | 451 Manhattan Beach Blvd Ste D120, Manhattan Beach, CA 90266-5360 | 2016-06-03 |
| 1447413026 | Jonathan Mark Stein | Optometrist | 3200 N Sepulveda Blvd Ste E4, Manhattan Beach, CA 90266-2469 | 2008-07-03 |
| 1356468110 | Barbara J Shigekuni | Optometrist | 1590 Rosecrans Ave, Suite N, Manhattan Beach, CA 90266-3727 | 2007-03-24 |
| 1255309464 | Gregg Thomas Okada | Optometrist | 946 Manhattan Beach Blvd, Manhattan Beach, CA 90266 | 2006-03-14 |
| 1023082690 | Beach Cities Optometry, Inc. | Optometrist | 1103 Highland Ave, Manhattan Beach, CA 90266-5310 | 2006-02-13 |
| 1902889009 | Tiffany M Ong | Optometrist | 3200 N Sepulveda Blvd, Suite E4, Manhattan Beach, CA 90266-2458 | 2005-11-22 |
| 1679556872 | Tracy Carol Kawamura | Optometrist | 3500 N Sepulveda Blvd, Suite E4, Manhattan Beach, CA 90266-3638 | 2005-11-22 |
| 1366440018 | Anne Cindy Lee | Optometrist | 1828 Walnut Ave, Manhattan Beach, CA 90266-5019 | 2005-07-07 |
| 1427606508 | Heather Nenov | Optometrist | 3200 N Sepulveda Blvd Ste E4, Manhattan Beach, CA 90266-2469 | 2019-08-31 |
| 1932757028 | Tatevik Mananian | Optometrist | 3200 N Sepulveda Blvd Ste E4, Manhattan Beach, CA 90266-2469 | 2019-08-31 |
| Find all providers in MANHATTAN BEACH | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
Please comment or provide details below to improve the information on DR. LORI J 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.