DONALD R CLARK (NPI# 1124121124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124121124 |
| Entity Type | Individual |
| Full Name | DONALD R CLARK |
| Credential | O.D. |
| Practice Address |
2032 Veterans Blvd Suite A Dublin GA 31021-3042 |
| Mailing Address |
1950 Old Gallows Rd Suite 520 Vienna VA 22182-3990 |
| Practice Telephone | 4782723445 |
| Practice Fax Number | 4782724802 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 7039910514 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT001315 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000583107F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391875 | Donald Callan Clark | Anesthesiology | 7585 El Paso St, La Mesa, CA 91942-4302 | 2014-06-17 |
| 1124282538 | Donald Eugene Clark | Community Health Worker | 5117 Tarrywood Ln, Charlotte, NC 28205-4827 | 2008-07-15 |
| 1437278942 | Donald C Clark | Chiropractor | 4660 Slater Rd Ste 140, Eagan, MN 55122-4049 | 2007-03-28 |
| 1083773931 | Donald Wayne Clark | Family Medicine | 801 Vassar Ne, Albuquerque Indian Health Center, Albuquerque, NM 87106 | 2006-12-06 |
| 1386669570 | Donald Godfrey Clark | Internal Medicine | 29521 Ford Rd, Garden City, MI 48135 | 2006-07-12 |
| 1487635132 | Donald L Clark | Psychologist | 428 Coffey Knob Rd, Boone, NC 28607-6608 | 2005-11-09 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1023588423 | Donald James Clark | Counselor | 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 | 2018-11-28 |
| 1447659701 | Donald Clark | Pharmacist | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2014-08-22 |
| 1891102810 | Donald Keith Clark | Case Manager/Care Coordinator | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2014-07-22 |
| Street Address |
2032 VETERANS BLVD SUITE A |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114967742 | James B. Craig | Optometrist | 2032 Veterans Blvd, Dublin, GA 31021-3042 | 2006-06-08 |
| 1902336654 | Taylor Brigham | Optometrist | 2032 Veterans Blvd, Dublin, GA 31021-3042 | 2017-06-15 |
| 1447627815 | Jarvis Johnson | Optometrist | 2032 Veterans Blvd, Dublin, GA 31021-3042 | 2015-09-01 |
| 1558531509 | Myeyedr Optometry of Georgia LLC | Optometrist | 2032 Veterans Blvd, Sute A, Dublin, GA 31021-3042 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1558917997 | Jonathan Lau | Optometrist | 4288 Dublin Blvd Ste 114, Dublin, CA 94568-3173 | 2019-08-12 |
| 1932691136 | Lauren Mccall Mitchell | Optometrist | 6732 Perimeter Loop Rd, Dublin, OH 43017-3202 | 2018-06-04 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1033653449 | Tan Truong Od Inc | Optometrist | 3860 Fallon Rd, Dublin, CA 94568-4277 | 2016-12-05 |
| 1881065902 | Lefebvre Eyecare LLC | Optometrist | 5752 Frantz Road, Dublin, OH 43016 | 2015-10-15 |
| 1538542444 | Harmin J Chima | Optometrist | 5043 Tuttle Crossing Blvd Ste 238, Dublin, OH 43016-1538 | 2015-07-09 |
| 1265840672 | Iron Horse Optometric Group | Optometrist | 7197 Village Pkwy Ste D, Dublin, CA 94568-2411 | 2014-07-29 |
| 1225442767 | Timothy Mack | Optometrist | 7990 Severhill Ct, Dublin, OH 43016-9235 | 2014-06-12 |
| 1306257969 | Bay Eyecare Institute | Optometrist | 6358 Clark Ave, Dublin, CA 94568-3036 | 2014-05-16 |
| 1134561079 | Zeelane Desai | Optometrist | 6625 Castleforbes Ct, Dublin, OH 43016-8419 | 2013-07-19 |
| Find all providers in DUBLIN | ||||
Please comment or provide details below to improve the information on DONALD R CLARK.
| 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.