MR. RAYMOND A KLARK JR. (NPI# 1639292535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639292535 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND A KLARK JR. |
| Credential | OPTICIAN |
| Practice Address |
236 Pinewoods Ave Tonawanda NY 14150-7068 |
| Practice Telephone | 7168361909 |
| Practice Fax Number | 7164347809 |
| Mailing Telephone | 7168361909 |
| Mailing Fax Number | 7164347809 |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4077 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00707231 | 05 |
| Street Address |
236 PINEWOODS AVE |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-7068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023205309 | Gregory Vincent Michaels | Technician/Technologist | 448 Delaware St, Tonawanda, NY 14150-3944 | 2007-10-01 |
| 1104047034 | Barbara Anne Sikora | Technician/Technologist | 2441 Sheridan Drive, Tonawanda, NY 14150 | 2007-05-01 |
| 1588752323 | Richard Barry Komm | Technician/Technologist | 2342 Niagara Falls Blvd, Tonawanda, NY 14150-4759 | 2006-10-10 |
| 1578677266 | Brighton Ophthalmic Dispensing PC | Technician/Technologist | 875 Brighton Rd, Tonawanda, NY 14150-8150 | 2006-08-18 |
| 1659779338 | Park Sher Optical Co of Buffalo Ny Inc | Technician/Technologist | 642 Sheridan Dr, Tonawanda, NY 14150-7853 | 2014-12-12 |
| 1699045294 | David Stevenson Schmidt Jr. | Technician/Technologist | 875 Brighton Rd, Tonawanda, NY 14150-8150 | 2012-01-12 |
| 1316248743 | Dss Ophthalmic Dispensing PC | Technician/Technologist | 875 Brighton Rd, Tonawanda, NY 14150-8150 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RAYMOND A KLARK JR..
| 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.