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
Fax: (540) 943-6170
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184660227 NPPES
Virginia Other 033512 ANTHEM-VIRGINIA

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