NATHANIEL CLARK (NPI# 1144712035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144712035 |
| Entity Type | Individual |
| Full Name | NATHANIEL CLARK |
| Credential | O.D. |
| Practice Address |
105 S Raceway Rd Indianapolis IN 46231-1414 |
| Practice Telephone | 3172738474 |
| Mailing Telephone | 3172738474 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18004088A | IN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891092516 | Nathaniel Robert Clark | Nurse Anesthetist, Certified Registered | Naval Hospital 6000 West Hwy 98, Pensacola, FL 32512-0003 | 2011-02-15 |
| 1295270346 | Nathaniel Clark | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-12-28 |
| 1891155792 | Nathaniel P Clark | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2016-03-04 |
| 1063660074 | Nathaniel Clark | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2008-09-03 |
| 1386687234 | Nathaniel G Clark | Internal Medicine | 433 W Main St, Hyannis, MA 02601-3644 | 2006-06-14 |
| 1528034675 | Nathaniel Clark | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-02-28 |
| 1144291360 | Nathaniel Wise Clark | Emergency Medicine | 201 16th Ave E, Seattle, WA 98112-5226 | 2006-01-27 |
| Street Address |
105 S RACEWAY RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46231-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126033 | Andrea Risley | Optometrist | 105 S Raceway Rd, Indianapolis, IN 46231-1414 | 2017-07-11 |
| 1629437397 | Center for Vein Restoration In, LLC | Surgery | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2016-02-23 |
| 1659668978 | Elizabeth Marie Leburg | Optometrist | 105 S Raceway Rd, Ste 100, Indianapolis, IN 46231-1414 | 2011-07-07 |
| 1356646574 | Decatur Vein Clinic, PC | Phlebology | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2011-01-19 |
| 1952536518 | John Purdue Weida | Dentist | 105 S Raceway Rd, Suite 140, Indianapolis, IN 46231-1414 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594316 | Myeyedr Optometry of Indiana, LLC | Optometrist | 105 S Raceway Rd Ste 100, Indianapolis, IN 46231 | 2018-07-09 |
| 1740484831 | Willie Flowers | Counselor | 1933 Southwood Drive, Indianapolis, IN 46231 | 2007-06-12 |
| 1407068083 | Lula Coates | Social Worker | 10903 Miller Drive, Indianapolis, IN 46231 | 2007-05-04 |
| 1528197076 | Sitaram Investments, LLC | Dentist | 105 South Raceway Road, Suite 140, Indianapolis, IN 46231 | 2007-03-02 |
| 1932264744 | Julia Nolte | Optometrist | 77 S. Girl School Rd., 103, Indianapolis, IN 46231 | 2006-12-22 |
| 1790926764 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 8201 W Washington St, Indianapolis, IN 46231 | 2009-03-20 |
| 1093360984 | Glasswater Creek of Plainfield, LLC | Assisted Living Facility | 10480 Glasswater Rd, Indianapolis, IN 46231-0001 | 2019-08-07 |
| 1952812307 | Avon Trust Care, Inc. | Non-emergency Medical Transport (VAN) | 10608 Cyrus Dr, Indianapolis, IN 46231-1023 | 2017-10-12 |
| 1366965014 | Nwamaka Theresa Onochie | Counselor | 10634 Cyrus Dr, Indianapolis, IN 46231-1023 | 2017-07-24 |
| 1679183685 | S&n Home Care, LLC | Home Health | 10634 Cyrus Dr, Indianapolis, IN 46231-1023 | 2020-08-04 |
| Find all providers in zip 46231 | ||||
| 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 |
|---|---|---|---|---|
| 1437774486 | Meret Thomas-huebner | Optometrist | 1160 W Michigan St Unit 100, Indianapolis, IN 46202-5209 | 2020-06-15 |
| 1013560333 | Nhi Thi Tuyet Nguyen | Optometrist | 1901 N Meridian Street, Indianapolis, IN 46202-1303 | 2019-07-17 |
| 1356900195 | Myeyedr Optometry of Indiana, LLC | Optometrist | 8170 Oaklandon Rd Ste A, Indianapolis, IN 46236-9543 | 2019-06-06 |
| 1801382239 | Myeyedr Optometry of Indiana, LLC | Optometrist | 54 Monument Cir Ste 125, Indianapolis, IN 46204-3047 | 2018-07-09 |
| 1922594316 | Myeyedr Optometry of Indiana, LLC | Optometrist | 105 S Raceway Rd Ste 100, Indianapolis, IN 46231 | 2018-07-09 |
| 1386136380 | Samuel Petro | Optometrist | 8125 Wellsbrook Dr, Indianapolis, IN 46278-1254 | 2018-06-05 |
| 1306366232 | Chelsea Till | Optometrist | 9745 Fall Creek Rd Ste 400, Indianapolis, IN 46256-4730 | 2017-06-21 |
| 1225564420 | Ossip Optometry, PC | Optometrist | 7255 N Shadeland Ave, Indianapolis, IN 46250-2021 | 2017-05-08 |
| 1447799226 | City Optical Co., Inc. | Optometrist | 4916 S Emerson Ave, Indianapolis, IN 46203-5937 | 2017-02-14 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46231 |
Please comment or provide details below to improve the information on NATHANIEL 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.