CHARLES A CLARK (NPI# 1922090752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090752 |
| Entity Type | Individual |
| Full Name | CHARLES A CLARK |
| Credential | OD |
| Practice Address |
212 N Franklin St Corydon IA 50060-1328 |
| Mailing Address |
212 N Franklin St Po Box 611 Corydon IA 50060-1328 |
| Practice Telephone | 6417745819 |
| Practice Fax Number | 6417748415 |
| Mailing Telephone | 6417745819 |
| Mailing Fax Number | 6417748415 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 01637 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3162669 | 05 | |
| IA | RAILROAD MEDICARE | 410045287 | 01 |
| 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 |
212 N FRANKLIN ST |
| City | CORYDON |
| State | IA |
| Zip Code | 50060-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922214246 | Deborah Nadarevic | Pharmacist | Your Neighborhood Pharmacy, 510 E. Jefferson Street Suite A, Corydon, IA 50060 | 2007-05-15 |
| 1669697074 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 102-104 North Franklin St, Corydon, IA 50060 | 2007-04-13 |
| 1336290030 | Wolfe Clinic Eye Centers, Lc | Eyewear Supplier (Equipment, not the service) | 212 N Franklin Street, Corydon, IA 50060 | 2007-01-16 |
| 1912067455 | C and J Quality Jobs LLC | Contractor | 610 West Maple St, Corydon, IA 50060 | 2006-12-12 |
| 1417941188 | Debra Kay Neuharth | Family Medicine | 410 South Lincoln St, Corydon, IA 50060 | 2005-09-08 |
| 1255488938 | Wayne Community School District | Local Education Agency (LEA) | 102 N Dekalb St, Corydon, IA 50060-1403 | 2007-01-04 |
| 1720607401 | Duane P Schmaltz | Pharmacist | 105 E Jackson St, Corydon, IA 50060-1408 | 2020-04-13 |
| 1669887642 | Hy Vee Inc | Pharmacy | 105 E Jackson St, Corydon, IA 50060-1408 | 2014-06-27 |
| 1336132588 | Corydon Pharmacy Inc | Pharmacy | 104 S Franklin St, Corydon, IA 50060-1518 | 2005-08-23 |
| 1669444014 | Patrick S Heffron | Chiropractor | 410 E Jefferson St, Corydon, IA 50060-1530 | 2006-02-01 |
| Find all providers in zip 50060 | ||||
| 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 |
|---|---|---|---|---|
| 1669549440 | Jennifer Lynn Kellems | Optometrist | 849 Pacer Dr Nw, Corydon, IN 47112-2145 | 2006-11-29 |
| 1639122252 | Pat L Moss | Optometrist | 215 E Chestnut St, Corydon, IN 47112 | 2006-05-17 |
| 1992283139 | Natalie Katt | Optometrist | 215 E Chestnut St, Corydon, IN 47112-1107 | 2018-07-31 |
| 1699046896 | Julie S. Didat O.d P.s.c | Optometrist | 2127 Edsel Ln Nw, Corydon, IN 47112-2030 | 2012-01-19 |
| 1821179441 | Julie S Didat | Optometrist | 2127 Edsel Ln Nw, Corydon, IN 47112-2030 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523406 | Kari Hellstern Od, P.C. | Optometrist | 550 36th Ave Sw Ste K1, Altoona, IA 50009-2626 | 2020-09-21 |
| 1508489824 | Clear View Vision Center, LLC | Optometrist | 1001 Avenue H Ste 2, Fort Madison, IA 52627-4559 | 2020-05-20 |
| 1952923609 | Le Mars Eye Care, PC | Optometrist | 26 5th Ave Nw, Le Mars, IA 51031-3427 | 2020-05-15 |
| 1275161549 | Metro Eyecare Associates LLC | Optometrist | 111 Nw 9th St Ste 1, Ankeny, IA 50023-1754 | 2020-03-31 |
| 1699314815 | American Eyecare PC | Optometrist | 1802 E Washington St Ste 101, Mt Pleasant, IA 52641-3217 | 2020-01-06 |
| 1659910453 | Luke R Ploessl | Optometrist | 2140 Jfk Rd Ste F, Dubuque, IA 52002-3883 | 2019-12-27 |
| 1063059186 | Reedy Eye Specialists | Optometrist | 2217 Main St # 329, Emmetsburg, IA 50536-2446 | 2019-12-09 |
| 1447896782 | Hawkeye Exact, LLC | Optometrist | 1801 4th St, Sioux City, IA 51101-2118 | 2019-11-21 |
| 1770144941 | Eyecare Partners, P.C. | Optometrist | 440 S 68th St, West Des Moines, IA 50266-8431 | 2019-06-27 |
| 1407415599 | Jacob Michael Diedrich | Optometrist | 5001 Sergeant Rd Ste 45, Sioux City, IA 51106-4777 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES A CLARK.
| 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.