DAVID ERIC CLARKE (NPI# 1164478392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164478392 |
| Entity Type | Individual |
| Full Name | DAVID ERIC CLARKE |
| Credential | OD |
| Practice Address |
2565 Ceanothus Ave # 155 Chico CA 95973-7615 |
| Mailing Address |
2565 Ceanothus Ave 155 Chico CA 95973-7615 |
| Practice Telephone | 5308993939 |
| Mailing Telephone | 5308993939 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11302 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0113020 | 05 | |
| CA | BLUE SHIELD | SD0113020 | 01 |
| CA | DEA | MC1082786 | 01 |
| CA | BLUE CROSS | 912197331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215213269 | David Clarke | Specialist | 6275 University Dr Nw Ste 37-395, Huntsville, AL 35806-1776 | 2011-10-21 |
| 1851511919 | David Ernest Clarke | Psychologist | 13304 Winding Oak Court, Suite A, Tampa, FL 33612 | 2007-04-30 |
| 1306959002 | David D Clarke | Internal Medicine | 9900 S.e. Sunnyside Rd., Clackamas, OR 97015-8970 | 2006-08-16 |
| 1255391595 | David G Clarke | Optometrist | 215 N Kanawha St, Beckley, WV 25801-4716 | 2006-03-23 |
| 1336138817 | David Michael Clarke | Chiropractor | 1675 N Maple Grove Rd, Boise, ID 83704-6925 | 2005-10-18 |
| 1699779512 | David J Clarke | Obstetrics & Gynecology | 37595 7 Mile Rd, Ste 480, Livonia, MI 48152-1003 | 2005-06-09 |
| 1902426042 | David Clarke | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, Brooklyn, NY 11201-5493 | 2020-04-18 |
| 1952765604 | David Thomas Clarke | Pharmacist | 334 N Mayo Trl, Paintsville, KY 41240-1804 | 2016-04-08 |
| 1447685516 | David Clarke | Physical Therapist | 75 Finnell Dr, Weymouth, MA 02188 | 2013-09-09 |
| 1558637181 | David Charles Clarke | Occupational Therapist | 15 Fairfield St, Staten Island, NY 10308-1823 | 2012-03-28 |
| Street Address |
2565 CEANOTHUS AVE # 155 |
| City | CHICO |
| State | CA |
| Zip Code | 95973-7615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066997 | Jennifer Ballintine | Dietitian, Registered | 2511 Navarro Drive, Chico, CA 95973 | 2018-06-11 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1699298323 | Wyatt Pforsich | Student in an Organized Health Care Education/Training Program | 4038 Augusta Ln, Chico, CA 95973 | 2017-07-25 |
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
| 1376090944 | Sarah Scharf | Behavioral Analyst | 15 Declaration Dr., Chico, CA 95973 | 2016-09-01 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1013251404 | Brigette Marie Brown | Speech-Language Pathologist | 2870 Cactus Ave, Chico, CA 95973 | 2012-11-26 |
| Find all providers in zip 95973 | ||||
| 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 |
|---|---|---|---|---|
| 1104443399 | Pennington Optometric Corporation | Optometrist | 2109 Forest Ave Ste 50, Chico, CA 95928-7708 | 2020-07-03 |
| 1902336076 | Ryan Vikesland | Optometrist | 114 Mission Ranch Blvd Ste 50, Chico, CA 95926-5137 | 2017-06-12 |
| 1922204353 | Bryan Davis Garrettson I | Optometrist | 175 Cohasset Rd, Chico, CA 95926-2201 | 2007-06-22 |
| 1447471511 | Edgar A. Parker | Optometrist | 2100 Whitman Ave, Chico, CA 95928-4407 | 2007-05-02 |
| 1073738779 | Gregory Roy Jenkins II | Optometrist | 1102 Mangrove Ave, Chico, CA 95926-3526 | 2007-04-16 |
| 1396880415 | Kelsey H Jewett | Optometrist | 1722 Mangrove Ave Ste 30, Chico, CA 95926-2300 | 2007-02-20 |
| 1417056896 | Family Eye Care Optometry, P.C. | Optometrist | 2565 Ceanothus Ave 155, Chico, CA 95973-7615 | 2006-09-21 |
| 1144339094 | Bonnie Kathleen Seely | Optometrist | 2056 Talbert Drive, Suite #100, Chico, CA 95928 | 2006-08-30 |
| 1891704615 | Glenn A Johnston | Optometrist | 2565 Ceanothus Ave, Ste 155, Chico, CA 95973-7615 | 2006-08-08 |
| 1689604423 | Jerry I. Laskey | Optometrist | 680 Rio Lindo Ave Ste 20, Chico, CA 95926-1849 | 2006-07-04 |
| Find all providers in CHICO | ||||
Please comment or provide details below to improve the information on DAVID ERIC CLARKE.
| 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.