MRS. PATRICIA A CLARK (NPI# 1134194269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134194269 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA A CLARK |
| Credential | OD |
| Practice Address |
3640 Main St Suite 205 Springfield MA 01107-1145 |
| Practice Telephone | 4137397367 |
| Practice Fax Number | 4137372686 |
| Mailing Telephone | 4137397367 |
| Mailing Fax Number | 4137393808 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002619 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665694 | Patricia Jane Clark | Occupational Therapist | Patricia Clark, 408 Center Bridge Road, Turner, ME 04282 | 2020-09-30 |
| 1326590126 | Patricia Clark | Occupational Therapist | 310 Hidden Valley Trl, Sherman, TX 75092-7618 | 2016-10-27 |
| 1467830380 | Patricia Ann Clark | Speech-Language Pathologist | 4260 Hunters Pass, Spring Hill, FL 34609-0319 | 2015-05-12 |
| 1013335447 | Patricia Clark | Behavioral Analyst | 5332 N El Sol Ave, Fresno, CA 93722-6119 | 2014-04-02 |
| 1528409737 | Patricia L. Clark | Psychologist | 117 Tecumseh Ct., Raleigh, NC 27607 | 2013-07-16 |
| 1003174319 | Patricia Clark | Licensed Practical Nurse | 305 The Brooklands, Akron, OH 44305-3610 | 2012-04-25 |
| 1407120108 | Patricia Clark | Registered Nurse | 1870 Sunshine Drive, Concord, CA 94520 | 2012-02-28 |
| 1316170574 | Patricia L Clark | Physician Assistant | 271 Route 25a Ste 2, Wading River, NY 11792-2014 | 2009-09-03 |
| 1720122963 | Patricia R Clark | Marriage & Family Therapist | 186 Kettle Pond Dr, Wakefield, RI 02879-5419 | 2007-02-19 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| Street Address |
3640 MAIN ST SUITE 205 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851411 | Mark A Jackowitz | Specialist | 3640 Main St, Suite 205, Springfield, MA 01107-1145 | 2005-09-16 |
| 1578093027 | Kathryn Ann Janikas | Physician Assistant | 3640 Main St, Springfield, MA 01107-1145 | 2017-06-18 |
| 1750818456 | Urologic Surgeons of New England, LLC | Urology | 3640 Main St, Suite 103, Springfield, MA 01107-1145 | 2017-05-12 |
| 1518324904 | Ryan Leigh Macdonald | Physician Assistant | 3640 Main St, Suite 302, Springfield, MA 01107-1145 | 2016-01-15 |
| 1750766853 | K. Francis Lee, M.d., P.C. | Surgery | 3640 Main St, Suite 302, Springfield, MA 01107-1145 | 2015-07-30 |
| 1053742098 | Michelle Sheehan | Nurse Practitioner | 3640 Main St, Suite 208, Springfield, MA 01107-1145 | 2013-12-02 |
| 1821435553 | Chelmsford Mri, P.C. | Radiology | 3640 Main St, Suite 101, Springfield, MA 01107-1145 | 2013-06-04 |
| 1134465545 | K. Francis Lee, M.d., P.C. | Surgery | 3640 Main St, Suite 302, Springfield, MA 01107-1145 | 2012-12-13 |
| 1831447820 | Gina Marie Lewis | Physician Assistant | 3640 Main St, Springfield, MA 01107-1145 | 2012-08-22 |
| 1376805978 | Paul Sciarretta | Technician/Technologist | 3640 Main St, Suite 206, Springfield, MA 01107-1145 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| 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 |
|---|---|---|---|---|
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
| 1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
| 1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
| 1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
| 1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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| 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.