Thomas Clark (NPI# 1134280613, PAC ID# 0042431306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134280613 |
| PAC ID by PECOS | 0042431306 |
| Professional Enrollment ID | I20141030000768 |
| Full Name | Thomas Clark |
| Organization Legal Name | THOMAS H CLARK PC |
| Address |
33 Blair Park Rd Suite 101 Williston VT 05495-7590 |
| Phone Number | 8028621947 |
| Gender | M |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 1967 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9133340490 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 33 Blair Park Rd, Suite 101, Williston, VT 05495-7590 | 8028621947 | THOMAS H CLARK PC |
| 33 Blair Park Rd, Williston, VT 05495-7590 | 8028621947 | THOMAS H CLARK PC |
| Organization Legal Name | THOMAS H CLARK PC |
| Physicians | 1 |
| Street Address |
33 BLAIR PARK RD SUITE 101 |
| City | WILLISTON |
| State | VT |
| Zip | 05495-7590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimlee D. Butterfield | Clinical Social Worker | 403 White Birch Lane, Williston, VT 05495 | |
| Thomas M Barritt | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Susan Lillich | Psychologist, Clinical | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Samantha B Barr | Psychologist, Clinical | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Lori D Soule | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Jessica J Rodd | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Lillian M Borek | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Daniel Preston Ellis | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Zafir G Bludevich | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Nicole W Davignon | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Find all physicians in zip 05495 | |||
| City | WILLISTON |
| Zip Code | 05495 |
| Specialty | OPTOMETRY |
| City + Specialty | WILLISTON + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.