LINDA JEAN CLARK


Address: 1765 Stafford Court, Goshen, IN 46526-6542
Phone: 5745334910

LINDA JEAN CLARK (NPI# 1013061803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013061803
Entity Type Individual
Full Name LINDA JEAN CLARK
Credential O.D.
Practice Address 1765 Stafford Court
Goshen
IN 46526-6542
Practice Telephone 5745334910
Practice Fax Number 5745343479
Mailing Telephone 5745334910
Mailing Fax Number 5745343479
Enumeration Date 2007-01-22
Last Update Date 2015-02-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 18002119 IN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100112880A 05

Other Providers LINDA CLARK

NPI Name Taxonomy Address Enumeration
1568703742 Linda Gaye Clark Social Worker 148 S Dowlen Rd, # 638, Beaumont, TX 77707-1755 2013-03-12
1730403783 Linda Sue Clark Pharmacist 201 Crossings Mall, Elkview, WV 25071 2010-03-19
1245552009 Linda R Clark Nutritionist 5150 Sunrise Blvd., Ste. H-4, Fair Oaks, CA 95628 2010-02-22
1114167616 Linda M Clark Psychologist 78 Reno Rd, Buffalo, WY 82834-2019 2009-02-24
1679610927 Linda Patricia Clark Massage Therapist 14610 229th Ave E, Orting, WA 98360-9669 2007-01-30
1801806583 Linda J. Clark Social Worker 238 N 2nd St, Ste.1, Richmond, KY 40475-1484 2006-08-08
1376507772 Linda Clark Internal Medicine 13 Saint Albans Cir, Suite C, Newtown Square, PA 19073-3622 2006-04-13
1144723016 Linda Catherine Clark Counselor 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 2018-03-16
1851848261 Linda Clark Specialist/Technologist 1201 Galloway St, Steilacoom, WA 98388-3909 2016-09-01
1629468533 Linda Marie Clark Nurse Practitioner 1300 Wesley Dr, Memphis, TN 38116-6426 2015-01-30

Office Location

Street Address 1765 STAFFORD COURT
City GOSHEN
State IN
Zip Code 46526-6542

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134631344 Heidi Kauffmann Social Worker 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 2017-10-27
1952812034 Blue Diamond Villas Skilled Nursing Facility 1510 Sandpiper Lane, Goshen, IN 46526 2017-10-17
1578086534 Anthony Escotto Physical Therapist 223 North Chicago Avenue, Goshen, IN 46526 2017-07-21
1831544774 April Noelle Hart Registered Nurse 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 2016-04-28
1639530108 Amanda Miller Physical Therapy Assistant 114 Watertower Court, Goshen, IN 46526 2016-03-11
1720486095 Gloria White Pharmacist 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 2014-12-18
1184982472 Dianna Christine Hoover Occupational Therapist 1627 Autumn Blaze Lane, Goshen, IN 46526 2012-04-24
1629361357 Amy Rebecca Pointon Nurse Practitioner 1615 Winsted Dr Ste 1, Goshen, IN 46526 2011-05-27
1659670685 Michiana Eye Center LLC Optometrist 1747 Stafford Ct, Goshen, IN 46526 2011-03-16
1467759001 Natasha Candace Pontius Occupational Therapy Assistant 2400 College Aveune, Goshen, IN 46526 2011-02-17
Find all providers in zip 46526

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629508825 Derek A Radich Optometrist 1 Hatfield Ln Ste 3, Goshen, NY 10924-6753 2017-06-19
1659670685 Michiana Eye Center LLC Optometrist 1747 Stafford Ct, Goshen, IN 46526 2011-03-16
1265669170 Linda J. Clark, O.d. Optometrist 1765 Stafford Ct, Goshen, IN 46526-6542 2009-06-18
1538364906 Reena Narula Optometrist 1 Hatfield Ln, Suite 3, Eye Physicians of Orange County, P.C., Goshen, NY 10924 2007-06-18
1689756066 Paula Marie Ulmer Optometrist 176 Greenwich Ave, Goshen, NY 10924-2026 2006-10-19
1134219447 Jeffrey Scott Wade Optometrist 4024 Elkhart Rd Ste 23, Goshen, IN 46526-5803 2006-10-15
1457336927 Bryan Keith Stephens Optometrist 1722 Bashor Rd, Goshen, IN 46526-1302 2005-12-07
1710455126 Angela Taylor Optometrist 116 W Washington St, Goshen, IN 46526-3729 2018-11-05
1164885042 West Point Optical Group Optometrist 4024 Elkhart Rd, Suite 23, Goshen, IN 46526 2016-03-30
1689011413 William Z King Optometrist 1615 Winsted Dr, Goshen, IN 46526-4696 2013-06-03
Find all providers in GOSHEN

Competitor

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City GOSHEN
Zip Code 46526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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