Lori J Clark, O.D. Inc, An Optometric Corporation
LBN: Lori J Clark, O.D. Inc, An Optometric Corporation
Lori J Clark, O.D. Inc, An Optometric Corporation is an health care organization with primary practice located at 1145 Manhattan Ave , Manhattan Beach CA 90266-5333. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty.
Lori J Clark, O.D. Inc, An Optometric Corporation can be contacted via phone (310) 546-4618, or through Clark, Lori J via phone (310) 546-4618.
Contact Information
Primary practice address
1145 Manhattan Ave
Manhattan Beach CA 90266-5333
Phone: (310) 546-4618
Fax: (310) 546-9268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X |
Profile Details
| NPI number | 1952869257 |
|---|---|
| LBN Legal business name | Lori J Clark, O.D. Inc, An Optometric Corporation |
| DBA Doing business as | |
| Authorized official | Clark, Lori J Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2019 |
| Last updated | Mar 5th, 2019 - about 5 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 | 1952869257 | NPPES |
| California | MEDICAID | SD0089501 |
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