Mt Airy Vision Center
LBN: Dr Michael Clark Optometrist Pa
Mt Airy Vision Center is an health care organization with primary practice located at 602 S Renfro St , Mount Airy NC 27030-4742. 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 Michael Clark Optometrist Pa can be contacted via phone (336) 789-9031, or through Clark, Michael via phone (336) 789-9031.
Contact Information
Primary practice address
602 S Renfro St
Mount Airy NC 27030-4742
Phone: (336) 789-9031
Fax: (336) 789-8343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0884 | North Carolina |
Profile Details
| NPI number | 1407936008 |
|---|---|
| LBN Legal business name | Dr Michael Clark Optometrist Pa |
| DBA Doing business as | Mt Airy Vision Center |
| Authorized official | Clark, Michael Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Mar 21st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407936008 | NPPES |
| North Carolina | MEDICAID | 89013MW | |
| North Carolina | Other | 3739 | |
| North Carolina | Other | 1409898 | |
| North Carolina | Other | 9203311 | |
| North Carolina | Other | 013MW | |
| North Carolina | Other | 580000014 |
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