Dr. Clark & Associate Optometrists, P.A.

LBN: Dr. Clark & Associate Optometrists, P.A.
Dr. Clark & Associate Optometrists, P.A. is an health care organization with primary practice located at 5501 B North Ih 35 , Austin TX 78723-2430. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Clark & Associate Optometrists, P.A. can be contacted via phone (512) 452-5735, or through Clark, Douglas Fredrick via phone (512) 452-5735.

Contact Information

Primary practice address
5501 B North Ih 35 Austin TX 78723-2430
Phone: (512) 452-5735
Fax: (512) 452-3119
Website:
Map and Directions
Authorized official contact:
Name: Clark, Douglas Fredrick Doctor of Optometry (OD)
Phone: (512) 452-5735

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1962444687
LBN Legal business name Dr. Clark & Associate Optometrists, P.A.
DBA Doing business as
Authorized official Clark, Douglas Fredrick Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 2nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962444687 NPPES
Texas MEDICAID 0192825-01

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