MR. JEFFREY RICHARD CLARKE (NPI# 1194207944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194207944 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY RICHARD CLARKE |
| Credential | LDO |
| Practice Address |
349 Piney Forest Rd Ste A Danville VA 24540-4121 |
| Mailing Address |
268 Morgan Ln Dry Fork VA 24549-3046 |
| Practice Telephone | 4344254025 |
| Practice Fax Number | 4347247169 |
| Mailing Telephone | 4347247169 |
| Mailing Fax Number | 4347247169 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
11010003889 | VA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154410744 | Jeffrey Jason Clarke | Social Worker | 336 E 96th St, New York, NY 10128-3805 | 2006-10-12 |
| 1336148956 | Jeffrey Paul Clarke | Radiology | 801 S Stevens St, Spokane, WA 99204 | 2005-07-15 |
| 1629075494 | Jeffrey Scott Clarke | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2005-07-07 |
| 1295909034 | Jeffrey Melson Clarke | Student in an Organized Health Care Education/Training Program | Dumc, Box 3951, Durham, NC 27710-0001 | 2008-04-14 |
| 1013139096 | Jeffrey Clarke | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-05-02 |
| Street Address |
349 PINEY FOREST RD STE A |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639646987 | Infinity Eyecare of Danville Inc. | Eyewear Supplier (Equipment, not the service) | 349 Piney Forest Rd Ste A, Danville, VA 24540-4121 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073666053 | Joel L. Langham | Technician/Technologist | 905 Hustonville Rd, Suite 1, Danville, KY 40422-2160 | 2007-01-21 |
| 1770644080 | Dennis Metas | Technician/Technologist | 302 Sycamore Valley Rd W, Danville, CA 94526-3948 | 2006-12-12 |
| 1619983582 | Dfc Corp | Technician/Technologist | 3321 Riverside Dr, Danville, VA 24541-3430 | 2006-07-31 |
| 1467496281 | Danville Optical Center | Technician/Technologist | 515 Rison St, Danville, VA 24541-2458 | 2006-06-15 |
| 1154684496 | America's Best Contacts & Eyeglasses | Technician/Technologist | 145 Holt Garrison Pkwy, Danville, VA 24540-5948 | 2012-06-21 |
| 1558630756 | Sams East Inc | Technician/Technologist | 215 Piedmont Pl, Danville, VA 24541-4176 | 2011-12-19 |
| 1740363472 | Wal-mart Stores East, Lp | Technician/Technologist | 100 Walton Ave, Danville, KY 40422-8414 | 2006-10-24 |
| 1053494666 | Wal-mart Stores East, Lp | Technician/Technologist | 515 Mount Cross Rd, Danville, VA 24540-4065 | 2006-10-24 |
| 1528149028 | Wal-mart Stores, Inc | Technician/Technologist | 4101 N Vermilion St Ste A, Danville, IL 61834-5997 | 2006-10-18 |
| 1073527495 | Us Vision Optical Inc | Technician/Technologist | 2917 N Vermilion St, Danville, IL 61832-1366 | 2006-07-28 |
| Find all providers in DANVILLE | ||||
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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.