MR. GERARDO CLARK


Address: 4124 Ayers St, Corpus Christi, TX 78415-5315
Phone: 3618540115

MR. GERARDO CLARK (NPI# 1891056032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891056032
Entity Type Individual
Full Name MR. GERARDO CLARK
Credential OPTICIAN
Practice Address 4124 Ayers St
Corpus Christi
TX 78415-5315
Practice Telephone 3618540115
Practice Fax Number 3618540116
Mailing Telephone 3618540115
Mailing Fax Number 3618540116
Enumeration Date 2012-06-05
Last Update Date 2012-06-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3101 TX Eye and Vision Services Providers

Office Location

Street Address 4124 AYERS ST
City CORPUS CHRISTI
State TX
Zip Code 78415-5315

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1740574300 William Lee Townsend Technician, Other 2910 South Padre Island Drive, Corpus Christi, TX 78415 2011-06-01
1144523671 Coastal Bend Wellness Foundation Inc Case Manager/Care Coordinator 2882 Holly Rd., Corpus Christi, TX 78415 2010-12-06
1528230422 True Medical Imaging Clinic/Center 3502 Spid, Corpus Christi, TX 78415 2008-03-31
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1912065954 Jorge S Rodriguez Legal Medicine 3845 Spid, Corpus Christi, TX 78415 2006-12-04
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457969123 National Vision Inc Optometrist 4701 S Padre Island Dr, Corpus Christi, TX 78411-4472 2020-07-20
1831746189 Five Points Eyecare, Pllc Optometrist 4101 Ih 69 Access Rd Ste B3, Corpus Christi, TX 78410-4543 2019-08-21
1730557182 Amy Luu Q.a. Mai Optometrist 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 2015-09-02
1952702763 Bhakta Samir Ramesh Od Pllc Optometrist 5488 S Padre Island Dr Ste 1308b, Doctor's Office, Corpus Christi, TX 78411-4117 2014-09-11
1013326958 Eyeworks Optometrist 1504 Holly Rd, Corpus Christi, TX 78411 2014-08-05
1821428541 Mark L Tappan Optometrist 4833 S Padre Island Dr, Corpus Christi, TX 78411-4201 2013-11-15
1730512385 Gail Williamson Optometrist 5638 Saratoga Blvd Ste 106, Corpus Christi, TX 78414-4134 2013-08-19
1770899437 David C Browning Optometrist 5488 Spid Dr Ste 2042, Corpus Christi, TX 78411-4122 2010-08-19
1912182650 Jerry K Yeang Optometrist 6500 S Padre Island Dr Ste 17, Corpus Christi, TX 78412-4055 2007-12-31
1154503423 Sherri Rast Optometry, Inc. Optometrist 6646 S Staples St, Suite 108, Corpus Christi, TX 78413-5425 2007-11-28
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Competitor

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City CORPUS CHRISTI
Zip Code 78415

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Dataset Information

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.

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