Lori J Clark Od

LBN: Lori J Clark Od
Lori J Clark Od 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 / Optometrist, which is considered as the primary health care specialty. Lori J Clark Od 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:
Map and Directions
Authorized official contact:
Name: Clark, Lori J Doctor of Optometry (OD)
Phone: (310) 546-4618

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP8950T California

Profile Details

NPI number 1396884771
LBN Legal business name Lori J Clark Od
DBA Doing business as
Authorized official Clark, Lori J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1396884771 NPPES
California MEDICAID SD0089501

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