NPI 1912016494 · live from the CMS NPI Registry
Stacy Ann Clark, OD
Optometrist in Salina, KS. National Provider Identifier 1912016494, active.
NPI record
| NPI | 1912016494 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1601 E Iron Ave, Salina, KS 67401 |
| Practice phone | 785-825-4679 |
| Enumerated | August 29, 2006 |
| Last updated | June 22, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | KS13703 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.