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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 18002119 | IN | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100112880A | 05 |
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 |
Street Address |
1765 STAFFORD COURT |
City | GOSHEN |
State | IN |
Zip Code | 46526-6542 |
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 Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
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 |
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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.