Clark-Gelburd, Kathleen J
Clark-Gelburd, Kathleen J is an individual health care provider with primary practice located at 400 S Magnolia Ave , Waynesboro VA 22980-3648. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Clark-Gelburd, Kathleen J can be contacted via phone (540) 949-7126.Contact Information
Primary practice address
400 S Magnolia Ave
Waynesboro VA 22980-3648
Phone: (540) 949-7126
Fax: (540) 943-6170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618000978 | Virginia |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 0618000978 | Virginia |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 0618000978 | Virginia |
Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000978 | Virginia |
Profile Details
NPI number | 1184660227 |
---|---|
LBN Legal business name | Clark-Gelburd, Kathleen J |
Credentials | OPTOMETRIST |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184660227 | NPPES |
Virginia | Other | 033512 | ANTHEM-VIRGINIA |
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