MEREDITH KATHERINE CLARK (NPI# 1124382601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124382601 |
| Entity Type | Individual |
| Full Name | MEREDITH KATHERINE CLARK |
| Credential | O. D. |
| Practice Address |
920 Revolution St Havre De Grace MD 21078-3748 |
| Practice Telephone | 4109392200 |
| Practice Fax Number | 4109395980 |
| Mailing Telephone | 4109392200 |
| Mailing Fax Number | 4109395980 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA2371 | MD | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG002639 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | EYEMED | A13586 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245624287 | Meredith Clark | Psychiatry & Neurology | 152 West Street, Danbury, CT 06810-6361 | 2015-03-27 |
| 1063735504 | Meredith Renae Clark | Nurse Practitioner | 605 Cotton St, Winston Salem, NC 27101-5080 | 2010-03-11 |
| 1760091409 | Meredith Clark | Dentist | 7101 Hoff St, Fort Benning, GA 31905-5645 | 2020-07-29 |
| 1124689096 | Meredith Rose Clark | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2019-06-21 |
| 1710295225 | Meredith Clark | Nurse Practitioner | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2010-09-17 |
| 1396051397 | Meredith Hoffman Clark | Occupational Therapist | 127 S Broadway, St Josephs Medical Center, Stein Center 6, Yonkers, NY 10701 | 2010-08-27 |
| 1396853198 | Meredith Clark | Dentist | 2160 Hendersonville Rd, Arden, NC 28704 | 2006-08-29 |
| 1316962715 | Meredith Clark | Specialist/Technologist | 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561-4380 | 2006-07-13 |
| Street Address |
920 REVOLUTION ST |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033533 | Betsy Jane Cohen | Audiologist | 920 Revolution St, Havre De Grace, Havre De Grace, MD 21078-3718 | 2005-06-15 |
| 1538544457 | Meklit Million1 Abebe | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2015-07-21 |
| 1760864912 | Myeyedr Optometry of Maryland, LLC | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2015-06-24 |
| 1245660075 | Northeast Eye Surgeons Pa | Ophthalmology | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2013-11-14 |
| 1194906040 | Hearing Associates, Inc | Audiologist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2007-11-20 |
| 1265638316 | Lauren Knott Stephens | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2007-06-25 |
| 1881792190 | Halpern Eye Care of Maryland, Inc. | Technician/Technologist | 920 Revolution St, Havre De Grace, MD 21078-3718 | 2006-09-20 |
| 1902917123 | Edward J Patro | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2006-08-31 |
| 1801855630 | Manqian Tu | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2006-03-21 |
| 1770550071 | Jeffrey Hirsch Cohen | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2006-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| 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 |
|---|---|---|---|---|
| 1831755214 | Anthony Franco Gonzales | Optometrist | 531 Hall Ct, Havre De Grace, MD 21078-4261 | 2019-05-12 |
| 1427473339 | Aarthi R Jude | Optometrist | 901 Quarry Rd, 10, Havre De Grace, MD 21078-2335 | 2014-02-28 |
| 1083616205 | Scott Michael Smearman | Optometrist | 2023 Pulaski Highway, Havre De Grace, MD 21078 | 2005-06-01 |
| 1912909292 | Judith Holloway Grifasi | Optometrist | 2015-c Pulaski Highway, Havre De Grace, MD 21078-2144 | 2005-06-01 |
| 1265068613 | Eun-young Esther Ko | Optometrist | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 | 2020-03-17 |
| 1396306643 | Li Qing Ng | Optometrist | 531 Hall Ct, Havre De Grace, MD 21078-4261 | 2019-06-27 |
| 1437718210 | Jason Wu | Optometrist | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 | 2019-06-06 |
| 1841858065 | Jessica Young Won Hahm | Optometrist | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 | 2019-06-03 |
| 1144743626 | Jessica A Wieser | Optometrist | 2023 Pulaski Hwy, Havre De Grace, MD 21078 | 2017-07-17 |
| 1740733179 | Scott D Doherty | Optometrist | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 | 2016-08-02 |
| Find all providers in HAVRE DE GRACE | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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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.