Lee Clark (NPI# 1417910860, PAC ID# 1658416813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1417910860 |
| PAC ID by PECOS | 1658416813 |
| Professional Enrollment ID | I20100226000880 |
| Full Name | Lee Clark |
| Organization Legal Name | MEDICAL EYE ASSOCIATES PA |
| Address |
1707 Medical Park Dr W Suite 1 Wilson NC 27893-2876 |
| Phone Number | 2522917008 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1956 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4981633914 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 | 2522917008 | MEDICAL EYE ASSOCIATES PA |
| Organization Legal Name | MEDICAL EYE ASSOCIATES PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Vidacic | Optometry | Medical Eye Associates Pa | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 |
| Shawn Putman | Ophthalmology | Medical Eye Associates Pa | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 |
| Milan R Genge | Ophthalmology | Medical Eye Associates Pa | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 |
| Street Address |
1707 MEDICAL PARK DR W SUITE 1 |
| City | WILSON |
| State | NC |
| Zip | 27893-2876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Vidacic | Optometry | Medical Eye Associates Pa | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 |
| Shawn Putman | Ophthalmology | Medical Eye Associates Pa | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 |
| Milan R Genge | Ophthalmology | Medical Eye Associates Pa | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Elizabeth Dean | Certified Registered Nurse Anesthetist (crna) | Carolina Anesthesia Associates Pa | 20402 Camden Swst, Suite 300, Wilson, NC 27893 |
| Medhat F Sidaros | Internal Medicine | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| James M Fitch | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Catherine Margaret Melin | Nurse Practitioner | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Wallace Royce Nelms Jr. | Family Medicine | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Leana Lefrapper Higgins | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Elizabeth Woods Oates | Psychiatry | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Chad W Cato | Chiropractic | 2000 Nash St N, Suite E, Wilson, NC 27893-1724 | |
| James M Bolton | Chiropractic | 2801 Ward Blvd, Suite 7a, Wilson, NC 27893-1752 | |
| Joyce S Smith | Nurse Practitioner | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| Find all physicians in zip 27893 | |||
| City | WILSON |
| Zip Code | 27893 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WILSON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Lee Clark.
| 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.