MR. CHRISTOPHER M CLARK (NPI# 1801063664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801063664 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER M CLARK |
| Credential | LICENSED OPTICIAN |
| Practice Address |
1960 Electric Rd Roanoke VA 24018-1601 |
| Mailing Address |
4833 Shadow Ln Roanoke VA 24019-2563 |
| Practice Telephone | 5407769722 |
| Mailing Telephone | 5405621380 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101 002026 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | EYEMED VISION CARE | OP2378 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1801383351 | Christopher Clark | Case Management | 43a Richfield Rd, Upper Darby, PA 19082-2517 | 2018-04-20 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
| 1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
| 1427480490 | Christopher James Clark | Counselor | 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 | 2013-08-01 |
| 1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
| 1992053474 | Christopher Tad Clark | Counselor | 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 | 2012-08-15 |
| 1215257217 | Christopher David Clark | Physical Medicine & Rehabilitation | 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 | 2010-06-02 |
| 1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
| Street Address |
1960 ELECTRIC RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842695 | Kevin Thomas Coolbaugh | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-22 |
| 1780909291 | Patrick D Bradley | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2010-03-29 |
| 1609038538 | Kari Harner Boothe | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2008-07-01 |
| 1760533608 | Eugene H Eng | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2007-01-16 |
| 1639192594 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2006-07-25 |
| 1962400168 | Eye Care & Surgery PC | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-12 |
| 1508864109 | Carey William Robinson | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-08 |
| 1720085608 | Lee Thomas Helms | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-07 |
| 1023015476 | William Mckinley Thompson | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-30 |
| 1649277229 | Shari L Coolbaugh | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1518306539 | Stephen E Merricks | Technician/Technologist | 3405 Brambleton Ave, Roanoke, VA 24018-6519 | 2013-06-24 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1922339761 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1384 Towne Square Blvd Nw, Roanoke, VA 24012-1611 | 2010-01-19 |
| 1851441398 | Lynn Carlton Via | Technician/Technologist | 3555-a Electric Rd, Roanoke, VA 24018 | 2007-01-10 |
| 1568545283 | Diane N Etter | Technician/Technologist | 2122 Colonial Ave Sw, Roanoke, VA 24015-3205 | 2006-10-24 |
| 1740257823 | National Optical | Technician/Technologist | 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 | 2006-03-07 |
| 1669951034 | Usv Optical Inc. | Technician/Technologist | 1419 Hershberger Rd Nw, Roanoke, VA 24012-2225 | 2018-08-07 |
| 1023379658 | Norma Kaye Walker | Technician/Technologist | 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 | 2012-05-30 |
| 1982863684 | National Optical | Technician/Technologist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2008-06-06 |
| Find all providers in ROANOKE | ||||
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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.