MR. STEVEN JAMES CLARK (NPI# 1619197779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619197779 |
| Entity Type | Individual |
| Full Name | MR. STEVEN JAMES CLARK |
| Credential | LD0001859 |
| Practice Address |
4292 Gray Hwy Suite A Gray GA 31032 |
| Practice Telephone | 4789862384 |
| Practice Fax Number | 4789862301 |
| Mailing Telephone | 4789862384 |
| Mailing Fax Number | 4789862301 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LD0001859 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| 1801079686 | Steven Shia Clark | Social Worker | 223 Gratiot Ct, Saginaw, MI 48602-1865 | 2007-12-14 |
| 1003982489 | Steven Clark | Occupational Therapist | 15311 Vantage Pkwy W Ste 130, Houston, TX 77032-1955 | 2006-11-28 |
| 1124125505 | Steven Lester Clark | Family Medicine | 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 | 2006-09-20 |
| 1023114576 | Steven Donald Clark | Physical Therapist | 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | 2006-09-15 |
| 1629172622 | Steven Heyen Clark | Dentist | 801 Newton Ave, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1124036058 | Steven Alan Clark | Chiropractor | 2747 Sunset Ave, Rocky Mount, NC 27804-3751 | 2006-08-04 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| 1861498859 | Steven D. Clark | Physician Assistant | 14 Mountain Ledge Drive, Wilton, NY 12831-1858 | 2005-06-23 |
| 1881252658 | Steven Douglas Clark | Physician Assistant | 1998 Motel Blvd, Las Cruces, NM 88007 | 2019-06-05 |
| Street Address |
4292 GRAY HWY SUITE A |
| City | GRAY |
| State | GA |
| Zip Code | 31032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042676 | Karen J. M. Donato | Physician Assistant | 4292 Gray Hwy, Gray, GA 31032-5900 | 2006-12-22 |
| 1093971616 | Nkechi Okechukwu | Pediatrics | 4292 Gray Hwy, Gray, GA 31032-5900 | 2008-08-04 |
| 1497968739 | Todd F Kelleher Dc PC | Chiropractor | 4292 Gray Hwy, Gray, GA 31032-5900 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669120 | True Essential Service, LLC | Home Health | 112 Madison Avenue, Gray, GA 31032 | 2020-01-29 |
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1821404161 | Linda Norman Greene | Home Health Aide | 3562 Gray Highway, Gray, GA 31032 | 2014-07-08 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1245404516 | Louise E Simmons | Nurse's Aide | 426 Liberty Street, Gray, GA 31032 | 2008-04-17 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1477690014 | S & S Medical Management Services, Inc | Durable Medical Equipment & Medical Supplies | 221 West Clinton Street, Suite F, Gray, GA 31032 | 2007-01-31 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| Find all providers in zip 31032 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667302 | Carole F Medou | Technician/Technologist | 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396 | 2020-07-28 |
| 1255966206 | Steven W Burton | Technician/Technologist | 2498 Wingfield Dr, Austell, GA 30106-1762 | 2020-03-10 |
| 1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
| 1104380682 | National Vision Inc | Technician/Technologist | 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 | 2019-01-29 |
| 1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
| 1255818993 | Kerryn Castellon | Technician/Technologist | 55 Sudderth St, Buford, GA 30518-3335 | 2018-07-25 |
| 1770075731 | National Vision, Inc. | Technician/Technologist | 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 | 2018-06-05 |
| 1598262487 | National Vision, Inc. | Technician/Technologist | 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 | 2018-04-09 |
| 1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
| 1619490489 | Lisa Stonebraker | Technician/Technologist | 105 E Main St Ste 116, Woodstock, GA 30188-5013 | 2017-07-24 |
| Find all providers with the same taxonomy | ||||
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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.