LEE A CLARK JR.


Address: 1707 Medical Park Dr W, Wilson, NC 27893-2788
Phone: 2522917008

LEE A CLARK JR. (NPI# 1417910860) 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) 1417910860
Entity Type Individual
Full Name LEE A CLARK JR.
Credential MD
Practice Address 1707 Medical Park Dr W
Wilson
NC 27893-2788
Mailing Address 1707 Medical Park Dr W
Wilson
NC 27893-2768
Practice Telephone 2522917008
Practice Fax Number 2522911281
Mailing Telephone 2522917008
Mailing Fax Number 2522911281
Enumeration Date 2006-04-07
Last Update Date 2014-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WV0400X Optometrist
Specialization: Vision Therapy
010442 NC Eye and Vision Services Providers

Other Providers LEE CLARK

NPI Name Taxonomy Address Enumeration
1053735464 Lee Ann Clark Registered Nurse 15305 Waller Rd E, Tacoma, WA 98446-1533 2014-02-06
1215491048 Lee Ann Clark Case Manager/Care Coordinator 326 W 11th St, Shawnee, OK 74801-6710 2019-01-25
1790817948 Lee Lani Clark Counselor 2221 Enborg Ln, San Jose, CA 95128-2608 2007-03-12
1497899272 Lee W Clark Psychiatry & Neurology 10350 E Dakota Ave, Denver, CO 80247-1314 2007-02-16

Office Location

Street Address 1707 MEDICAL PARK DR W
City WILSON
State NC
Zip Code 27893-2788

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922094895 Medical Eye Associates Pa Ophthalmology 1707 Medical Park Dr W, Ste1, Wilson, NC 27893-2768 2005-09-26
1124485503 Sandra Vidacic Optometrist 1707 Medical Park Dr W, Wilson, NC 27893 2016-01-15
1174586507 Shawn C Putman Legal Medicine 1707 Medical Park Dr W, Wilson, NC 27893-2788 2006-04-07
1457313363 Milan R Genge Optometrist 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2788 2006-04-05
1235191115 Sharon Fekrat Ophthalmology 1707 Medical Park Dr W, Wilson, NC 27893-2788 2006-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245847524 Graceland Student Services LLC Early Intervention Provider Agency 610 Fairview Ave., Wilson, NC 27893 2020-09-30
1508477894 Evan Michael Abatiell Specialist/Technologist 400 Atlantic Christian E West Ne, Wilson, NC 27893 2020-08-11
1679100606 Newgreen Inhomecare Group Inc Registered Nurse 121 Nast Street N, Wilson, NC 27893 2020-03-27
1942772983 Open Water Medical, Pa Clinic/Center 4008 Nc-42, Wilson, NC 27893 2018-12-31
1679043244 Madison Rose Propst Social Worker 2416 Bedgood, Wilson, NC 27893 2018-11-27
1104396753 Laboratory Corporation of America Holdings Clinical Medical Laboratory 2500 Horton Blvd, Wilson, NC 27893 2018-11-27
1528545498 North Carolina In-home Partner-viii, LLC Home Health 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 2018-07-24
1518478957 Home Away From Home, Inc. In Home Supportive Care 1723 Meadowbrook Lane W., Wilson, NC 27893 2017-10-12
1942721295 Sandra Susan Blazek Social Worker 608 Nash Street Nw, Wilson, NC 27893 2017-06-27
1700306297 Kimberly Denton Almkuist Nurse Practitioner Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 2017-06-26
Find all providers in zip 27893

Taxonomy Information

Taxonomy Code 152WV0400X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Vision Therapy

Taxonomy Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457313363 Milan R Genge Optometrist 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2788 2006-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497960736 Genia Gail Beasley Optometrist 6917 Shannon Willow Road, Suite 100, Charlotte, NC 28226 2007-05-11
1255608592 Hilary Beth Gesford Optometrist 1200 Spruce St, Belmont, NC 28012-3370 2011-11-30
1699075093 Sightwork Doctors of Optometry Pa Optometrist 7547 Waterside Loop Rd, Suite C, Denver, NC 28037-7677 2010-11-01
1871741157 Aaron Bishop Glass Optometrist 104 S Main St, Lillington, NC 27546-8968 2008-08-28
1417032616 Richard Blair Woodard Optometrist 610 Jones Ferry Rd, Suite 200, Carrboro, NC 27510-6113 2006-10-26
1265495618 Lloyd Whitfield Bailey Optometrist 3044 Sunset Ave, Rocky Mount, NC 27804-3647 2006-04-07

Competitor

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City WILSON
Zip Code 27893

Improve Information

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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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