KATHRYN M CLARK OD NPI 1750449252

NPI Information

  • NPI: 1750449252
  • Provider Name: KATHRYN M CLARK, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 2101 JACOB ST. SUITE 201
    VALLEY PROF. CENTER SOUTH
    WHEELING, WV
    ZIP 26003
  • Phone: (304) 242-9245

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NPI Details

Kathryn M Clark, OD is an optometrist in Wheeling, WV. The provider is 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. Kathryn M Clark, OD NPI is 1750449252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2101 JACOB ST. SUITE 201
VALLEY PROF. CENTER SOUTH
WHEELING, WV
ZIP 26003-390
Phone: (304) 242-9245
Fax: (304) 242-6870

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist831-ODWEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DG5587OTHEROHIORAILROAD MEDICARE GROUP OH
20149721000MEDICAIDWEST VIRGINIA
3DG8768OTHERWEST VIRGINIARAILROAD MEDICARE WV GROUP PIN
4T47735MEDICARE UPINWEST VIRGINIA
50525191MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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