CHARLES LEROY CLARK III (NPI# 1912158627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912158627 |
| Entity Type | Individual |
| Full Name | CHARLES LEROY CLARK III |
| Credential | M.D. |
| Practice Address |
5441 Health Center Dr Abilene TX 79606 |
| Mailing Address |
5441 Health Center Dr Abilene TX 79606-1224 |
| Practice Telephone | (325) 673-9806 |
| Practice Fax Number | 3256739809 |
| Mailing Telephone | 3256739806 |
| Mailing Fax Number | 3256739809 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | R2830 | TX | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME119554 | FL | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
R2830 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1013485713 | Charles Nicholson Clark | Nurse Practitioner | 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 | 2018-11-12 |
| 1568971653 | Charles E Clark IIi | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2017-09-21 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| Street Address |
5441 HEALTH CENTER DR |
| City | ABILENE |
| State | TX |
| Zip Code | 79606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902836166 | Ophthalmology Specialists of Texas, Pllc | Ophthalmology | 5441 Health Center Dr, Abilene, TX 79606-1224 | 2006-07-04 |
| 1356608863 | Ross Tucker Lynds | Ophthalmology | 5441 Health Center Dr, Abilene, TX 79606 | 2012-04-20 |
| 1619141363 | Eric Matthew Zavaleta | Ophthalmology | 5441 Health Center Dr, Abilene, TX 79606 | 2008-04-14 |
| 1306935440 | Grant Phillip Janzen | Ophthalmology | 5441 Health Center Dr, Abilene, TX 79606 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609244284 | Hill Country Retina, Pllc | Ophthalmology | 2301 Lynbrook Dr, Abilene, TX 79606-4378 | 2015-09-13 |
| 1851623409 | H. Miller Richert, M.d., P.a. | Ophthalmology | 1750 Pine Street, Abilene, TX 79601-3044 | 2010-02-08 |
| 1902836166 | Ophthalmology Specialists of Texas, Pllc | Ophthalmology | 5441 Health Center Dr, Abilene, TX 79606-1224 | 2006-07-04 |
| 1639145410 | David J Izbrand | Ophthalmology | 1750 Pine St, Abilene, TX 79601-3044 | 2006-02-23 |
| 1952389967 | Brettly Joel Teague | Ophthalmology | 4342 Treanor Dr, Abilene, TX 79602-7012 | 2006-01-09 |
| 1801882030 | Mark J Phelan | Ophthalmology | 2120 Antilley Rd, Abilene, TX 79606-5211 | 2005-09-22 |
| 1760476964 | Sunil S. Patel | Ophthalmology | 5441 Health Center Drive, Abilene, TX 79606 | 2005-09-02 |
| 1336142660 | H. Miller Richert II | Ophthalmology | 4342 Treanor Drive, Abilene, TX 79602 | 2005-05-31 |
| 1669814919 | Abilene Premier Eye Care, Pllc | Ophthalmology | 1750 Pine St, Abilene, TX 79601-3044 | 2013-07-26 |
| 1427496264 | Eric J Areiter | Ophthalmology | 950 N 19th St Ste 100, Abilene, TX 79601-2420 | 2013-06-13 |
| Find all providers in ABILENE | ||||
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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.