Clark Optometric Center PA
NPI 1588619217ActiveOrganization· Optometrist· Durham, NC
Optometrist in Durham, North Carolina, registered in NPPES in May 2006. The authorized official on file is Anthony Clark, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588619217 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
| Reactivated | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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