Tina L. Clark, LDO2206
NPI 1902664022ActiveIndividual· Technician/Technologist, Optician· Monroe, GA
Technician/Technologist, Optician (LDO2206) in Monroe, Georgia, licensed in GA, with an NPI issued in March 2024.
Overview
| NPI | 1902664022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LDO2206 |
| Sole proprietor | No |
| NPI issued | Mar 12, 2024 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Mar 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | LDO2206 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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