DR. GARY L CLARKE (NPI# 1043272388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043272388 |
| Entity Type | Individual |
| Full Name | DR. GARY L CLARKE |
| Credential | O.D. |
| Practice Address |
308 Silver Bridge Plz Gallipolis OH 45631-1833 |
| Practice Telephone | 7404462525 |
| Practice Fax Number | 7404464371 |
| Mailing Telephone | 7404462525 |
| Mailing Fax Number | 7404464371 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 641-D | WV | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3220 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0345700 | 05 | |
| OH | MEDICARE PTAN | 9263881 | 01 |
| WV | WORKERS' COMP WV | 1010821 | 01 |
| WV | 0150144000 | 05 | |
| OH | WORKERS' COMP OH | 3110671970 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265537864 | Gary Kirven Clarke | Pathology | Vamc, 79 Middleville Rd, Northport, NY 11768 | 2006-09-14 |
| Street Address |
308 SILVER BRIDGE PLZ |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548432156 | Gary L. Clarke, Inc. | Optometrist | 308 Silver Bridge Plz, Gallipolis, OH 45631-1833 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| 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 |
|---|---|---|---|---|
| 1467636308 | William B Thomas | Optometrist | 346 3rd Ave, Gallipolis, OH 45631-1106 | 2007-12-27 |
| 1033280540 | Robert Bruce Terry | Optometrist | 1371 Jackson Pike, Gallipolis, OH 45631-1385 | 2006-11-13 |
| 1760561054 | Dr William B Thomas Optometrist Inc. | Optometrist | 346 Third Avenue, Gallipolis, OH 45631-0152 | 2006-11-06 |
| 1154433357 | Russell Todd Ragan | Optometrist | 3524 State Route 160, Gallipolis, OH 45631-9681 | 2006-08-31 |
| 1588687032 | Paul Daniel Kiesling | Optometrist | 1163 Jackson Pike, Gallipolis, OH 45631-1383 | 2006-07-25 |
| 1982245635 | Family Eyecare LLC | Optometrist | 1371 Jackson Pike, Gallipolis, OH 45631-1385 | 2019-10-03 |
| 1598193039 | Justin Terry | Optometrist | 1371 Jackson Pike, Gallipolis, OH 45631-1385 | 2013-10-18 |
| 1083878235 | Ryann Rochelle Thacker Swindler | Optometrist | 3524 State Route 160, Gallipolis, OH 45631-9681 | 2008-07-16 |
| 1548432156 | Gary L. Clarke, Inc. | Optometrist | 308 Silver Bridge Plz, Gallipolis, OH 45631-1833 | 2008-03-24 |
| 1154537918 | Dr. R. Todd Ragan, Inc. | Optometrist | 3524 State Route 160, Gallipolis, OH 45631-9681 | 2007-05-15 |
| Find all providers in GALLIPOLIS | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
Please comment or provide details below to improve the information on DR. GARY L CLARKE.
| 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.