NPI 1053319673 DR. JODI LYNN CLARK O.D. REDONDO BEACH CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Jodi Lynn Clark - NPI: 1053319673

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JODI LYNN CLARK
NPI Number: 1053319673
Entity Type Code: Individual (1)
Gender: F
Credentials: O.D.
License Number: 9934T
Business Practice Address: 17001 Hawthorne Blvd
Suite B Lawndale, CA - 902603302
Business Phone Number: 3103703360
Business Fax Number: 3103706227
Mailing Address: 202 Via Mesa Grande,
REDONDO BEACH
State: CA
Postal Code: 902776639
Phone Number: 3103731624
Fax Number:
NPI Enumeration Date: 07/08/2005
NPI Last Update Date: 04/30/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 152W00000X
License Number: 9934T
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Eye and Vision Services Providers
Taxonomy Classification: Optometrist
Taxonomy Specialization:
Taxonomy Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


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