Anthony Ronald Clark
Optometrist
2216 E Nc Highway 54
Durham
, North Carolina 27713-2208
Anthony Ronald Clark
Optometrist
2216 E Nc Highway 54
Durham
, North Carolina 27713-2208
(919) 433-0298
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Anthony Ronald Clark
- 2216e Nc Highway 54
- Durham, NC
- Zip : 27713-2208
- Fax : (919) 433-0298
- Phone : (919) 544-2020
Second Address
- Anthony Ronald Clark
- 2216 E Nc Highway 54
- Durham, NC
- Zip : 27713-2208
- Fax : (919) 433-0298
- Phone : (919) 544-2020
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1360 | NC |
National Provider Identifier
| NPI | 1003862210 |
|---|---|
| Provider Name | Anthony Ronald Clark |
| First Address | Durham, NC 27713-2208 |
| Second Address | Durham, NC 27713-2208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 03/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U05971 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.