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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
010442 | NC | Eye and Vision Services Providers |
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 |
Street Address |
1707 MEDICAL PARK DR W |
City | WILSON |
State | NC |
Zip Code | 27893-2788 |
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 |
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 Code | 152WV0400X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Vision Therapy |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457313363 | Milan R Genge | Optometrist | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2788 | 2006-04-05 |
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 |
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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.