DR. JOHN D. CLARK (NPI# 1437213907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437213907 |
| Entity Type | Individual |
| Full Name | DR. JOHN D. CLARK |
| Credential | O.D. |
| Practice Address |
Clark Eye Care Center 81 North St Geneva NY 14456 |
| Mailing Address |
81 North St Geneva NY 14456-1737 |
| Practice Telephone | 3157812650 |
| Practice Fax Number | 3157811970 |
| Mailing Telephone | 3157812650 |
| Mailing Fax Number | 3157811970 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV005491 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | PC100190CS | 01 |
| NY | BLUE CHOICE, MONROE PLAN | PO10005491 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1831417922 | John Russell Clark | Speech-Language Pathologist | 7811 Cobden Rd, Laverock, PA 19038-7257 | 2010-05-13 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| Street Address |
CLARK EYE CARE CENTER 81 NORTH ST |
| City | GENEVA |
| State | NY |
| Zip Code | 14456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752716 | Kristin Marie Stokes | Physician Assistant | 1150 Ny-5, Geneva, NY 14456 | 2017-07-17 |
| 1063961746 | Christina Brennan | Licensed Practical Nurse | 601b W. Washinton St, Geneva, NY 14456 | 2016-09-23 |
| 1184005704 | Finger Lakes Family Chiropractic Wellness P.C. | Chiropractor | 324 W. North Street, Suite 1, Geneva, NY 14456 | 2015-06-10 |
| 1245636422 | Jeanne Cordelia Mcclung | Social Worker | 671 Exchange Street, Geneva, NY 14456 | 2014-11-14 |
| 1245583004 | Heather E Cutler | Chiropractor | 34 Seneca Street, Second Floor Office, Geneva, NY 14456 | 2012-10-17 |
| 1457612392 | Shirley A Mumford | Home Health | 590 Pre-emption Rd., Geneva, NY 14456 | 2012-06-07 |
| 1245512573 | Karla Ann Hare | Registered Nurse | 590 Pre-emption Road, Geneva, NY 14456 | 2011-09-13 |
| 1427377787 | Carolyn Esther Swain | Registered Nurse | 590 Pre Emption Road, Sibley Nursing Service, Geneva, NY 14456 | 2010-05-26 |
| 1053637645 | Marilyn Greene | Counselor | 64 Seneca Street, Geneva, NY 14456 | 2010-04-08 |
| 1225272610 | Finger Lakes Migrant Health Care Project | Dentist | 601 B West Washington St, Geneva, NY 14456 | 2009-04-29 |
| Find all providers in zip 14456 | ||||
| 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 |
|---|---|---|---|---|
| 1881971133 | Third Street Eyecare, Ltd | Optometrist | 500 S Third St, Ste 105, Geneva, IL 60134-2762 | 2011-11-14 |
| 1033367040 | Paul H Bastermajian | Optometrist | 1622 Commons Dr, Geneva, IL 60134-2531 | 2008-09-03 |
| 1447433057 | Florianne Pacheco Burns | Optometrist | 507 S 3rd St Ste Fs, Geneva, IL 60134-2730 | 2007-12-06 |
| 1538350228 | Eyedentity Vision Care, LLC | Optometrist | 309 Hamilton St Ste A, Geneva, IL 60134-2182 | 2007-08-07 |
| 1154456671 | Michael Thomas Tweed | Optometrist | 1749 S Randall Rd Ste F, Pearle Vision Center, Geneva, IL 60134-4616 | 2007-02-23 |
| 1346390499 | Industrial Optical Service, Inc. | Optometrist | 507 S 3rd St, Suite F, Geneva, IL 60134-2730 | 2007-01-11 |
| 1255491874 | Linda M. Zanas | Optometrist | 1492-g S. Randall Rd., Geneva, IL 60134 | 2006-12-12 |
| 1336225135 | Richard C Judycki II | Optometrist | 1622 Commons Drive, Geneva, IL 60134 | 2006-10-27 |
| 1699855569 | Michele Montalbano | Optometrist | 2197 Blackberry Dr Ste A, Geneva, IL 60134-4713 | 2006-10-16 |
| 1942399274 | Christopher I Main | Optometrist | 809 Canandaigua Rd, Geneva, NY 14456-2003 | 2006-10-12 |
| Find all providers in GENEVA | ||||
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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.