Jeffrey J Clark (NPI# 1053574657, PAC ID# 8325287766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053574657 |
| PAC ID by PECOS | 8325287766 |
| Professional Enrollment ID | I20130617000145 |
| Full Name | Jeffrey J Clark |
| Organization Legal Name | ANTELOPE VALLEY OPTOMETRIC CENTER, INC. |
| Address |
1745 W Ave K A Lancaster CA 93534-6502 |
| Phone Number | 6619428437 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2860437068 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1745 W Ave K A, Lancaster, CA 93534-6502 | 6619428437 | ANTELOPE VALLEY OPTOMETRIC CENTER, INC. |
| Organization Legal Name | ANTELOPE VALLEY OPTOMETRIC CENTER, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard N Petersen | Optometry | Antelope Valley Optometric Center, Inc. | 1745 W Ave K A, Lancaster, CA 93534-6502 |
| Tara S Shields | Optometry | Antelope Valley Optometric Center, Inc. | 1745 W Ave K A, Lancaster, CA 93534-6502 |
| Michael L Holub | Optometry | Antelope Valley Optometric Center, Inc. | 1745 W Ave K A, Lancaster, CA 93534-6502 |
| Street Address |
1745 W AVE K A |
| City | LANCASTER |
| State | CA |
| Zip | 93534-6502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard N Petersen | Optometry | Antelope Valley Optometric Center, Inc. | 1745 W Ave K A, Lancaster, CA 93534-6502 |
| Tara S Shields | Optometry | Antelope Valley Optometric Center, Inc. | 1745 W Ave K A, Lancaster, CA 93534-6502 |
| Michael L Holub | Optometry | Antelope Valley Optometric Center, Inc. | 1745 W Ave K A, Lancaster, CA 93534-6502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil Kumar | Cardiovascular Disease (cardiology) | 44215 15th W St, Suite 215, Lancaster, CA 93534 | |
| Sethu V Madhavan | Gastroenterology | 867 W Lancaster Blvd, Lancaster, CA 93534-0000 | |
| Young J Ko | Internal Medicine | 44215 15th St W, Suite 303, Lancaster, CA 93534-0007 | |
| Patalappa Chandrashekar | Anesthesiology | 44830 Vly Central Way, Suite 107, Lancaster, CA 93534-1505 | |
| Joseph Ezra | Psychiatry | Tarzana Treatment Centers, Inc. | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 |
| Jonathan P Martinez | General Practice | Tarzana Treatment Centers, Inc. | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 |
| Rich F Emanuel | Nurse Practitioner | Tarzana Treatment Centers, Inc. | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 |
| Michael L Gales | Physician Assistant | Antelope Valley Community Clinic | 45104 10th St W, Lancaster, CA 93534-2310 |
| Soyeon Chin | General Practice | Antelope Valley Community Clinic | 45104 10th St W, Lancaster, CA 93534-2310 |
| Felicia Williams | Nurse Practitioner | Antelope Valley Community Clinic | 45104 10th St W, Lancaster, CA 93534-2310 |
| Find all physicians in zip 93534 | |||
| City | LANCASTER |
| Zip Code | 93534 |
| Specialty | OPTOMETRY |
| City + Specialty | LANCASTER + OPTOMETRY |
Please comment or provide details below to improve the information on Jeffrey J Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.