DR. STEPHEN PAUL CLARK (NPI# 1720004591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720004591 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN PAUL CLARK |
| Credential | O.D. |
| Practice Address |
902 W Madison Ave Athens TN 37303-3432 |
| Mailing Address |
Po Box 826 Athens TN 37371-0826 |
| Practice Telephone | 4237458882 |
| Practice Fax Number | 4237448428 |
| Mailing Telephone | 4237458882 |
| Mailing Fax Number | 4237448428 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1668 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTHCARE | 2240022 | 01 |
| TN | DMERC | 0350810001 | 01 |
| TN | SPECTERA | 14981 | 01 |
| TN | BLUE CROSS BLUE SHIELD TN | 3029708 | 01 |
| TN | CIGNA | 9812003 | 01 |
| TN | 3940201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1083039085 | Stephen Clark | Clinical Nurse Specialist | 1013 E Haines St, Philadelphia, PA 19138-1533 | 2014-02-27 |
| 1801136080 | Stephen Clark | Counselor | 2020 Taft Ave, Los Angeles, CA 90068-3623 | 2013-02-25 |
| 1316133093 | Stephen Jay Clark | Dentist | 8228 N Main St, Dayton, OH 45415-1641 | 2007-09-17 |
| 1780702225 | Stephen Donald Clark | Counselor | 10390 Us Highway 17 N, Wilmington, NC 28411-6878 | 2007-03-26 |
| 1801981477 | Stephen Lawrence Clark | Naturopath | 646 Center St, Wolfeboro, NH 03894 | 2006-10-03 |
| 1043249519 | Stephen Ned Clark | Chiropractor | 9100 Silverdale Way, Clark Chiropractic Neck & Back, Silverdale, WA 98383-8389 | 2006-06-30 |
| 1427086347 | Stephen Hone Clark | Dentist | 2820 E Flamingo Rd, #b, Las Vegas, NV 89121-5268 | 2006-06-29 |
| 1699717769 | Stephen Chris Clark | Dentist | 7200 S Pennsylvania Ave, Suite B, Oklahoma City, OK 73159-3336 | 2006-06-12 |
| 1477501419 | Stephen J. Clark | Dentist | 102 Ponemah Rd, Amherst, NH 03031-2827 | 2006-05-04 |
| Street Address |
902 W MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932125796 | Travis S. Mcdonald | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2006-07-14 |
| 1326503699 | Tennessee Eye Care Specialists, Pllc | Ophthalmology | 902 W Madison Ave, Athens, TN 37303-3432 | 2019-01-31 |
| 1457478158 | Keylon Eyecare, PC | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2007-03-26 |
| 1316963184 | Charles David Keylon | Optometrist | 902 W Madison Ave, Athens, TN 37303-3432 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| 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 |
|---|---|---|---|---|
| 1407412471 | Kajene Murugathasan | Optometrist | 1077 Baxter St Ste 100, Athens, GA 30606-3767 | 2019-05-15 |
| 1164910972 | Envision Optics LLC | Optometrist | 1021 Dowdy Rd, Athens, GA 30606-5718 | 2018-04-26 |
| 1871901231 | Heather Nicole Sutton | Optometrist | 110 College St Ste B, Athens, AL 35611-2714 | 2014-07-30 |
| 1841520038 | Km Vision Inc. | Optometrist | 3700 Atlanta Highway 141 Georgia Square Mall, Athens, GA 30606-7420 | 2010-01-11 |
| 1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
| 1497969075 | Nettune Eye Associates | Optometrist | 1123 S Palestine St Ste 100, Athens, TX 75751-3645 | 2007-05-10 |
| 1114040763 | Mark Gregory Mills | Optometrist | 1850 Epps Bridge Pkwy Ste 325, Athens, GA 30606-6186 | 2007-04-09 |
| 1407974082 | Mier Wang | Optometrist | 3700 Atlanta Hwy Ste 141, Athens, GA 30606-7420 | 2007-03-26 |
| 1689718728 | Sheri J Robson | Optometrist | 222 S Palestine St, Athens, TX 75751-2508 | 2007-02-19 |
| 1891861803 | Scott Timothy Williams | Optometrist | 1405 E Tyler Street, Suite 100, Athens, TX 75751-2724 | 2006-11-28 |
| Find all providers in ATHENS | ||||
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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.