Active NPIIndividual provider

Mrs. Patricia A Clark, OD

Optometrist in Longmeadow, Massachusetts

NPI Number1134194269
Practice location
809 Williams St, Longmeadow, MA 01106-2060
Fax
413-754-6723
Last updated
October 25, 2024

Patricia A Clark is an Optometrist based in Longmeadow, MA. Patricia A Clark practices in Longmeadow, MA and has the professional credentials of OD. The NPI Number for Patricia A Clark is 1134194269 and holds a License No. OPT4613 (MA). The current practice location address for Patricia A Clark is 809 Williams St, Longmeadow, MA 01106-2060 and can be reached out via phone at 413-567-6450 and via fax at 413-754-6723.

Provider Profile Details

NPI Number
1134194269
Provider Name
Patricia A Clark
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
809 Williams St, Longmeadow, MA 01106-2060
Phone Number
413-567-6450
Fax Number
413-754-6723
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2006
Last Update Date
October 25, 2024
Certification Date
October 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
809 Williams St
Longmeadow, MA 01106-2060
Zip
01106-2060
Phone Number
413-567-6450
Fax Number
413-754-6723
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
Po Box 60834
Longmeadow, MA 01116-0834
City
Longmeadow
State
MA
Zip
01116-0834
Phone Number
413-567-6450
Fax Number
413-754-6723

License Information

License Number
OPT4613
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Patricia A Clark, OD?

The NPI number of Mrs. Patricia A Clark, OD is 1134194269. It was assigned on February 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Patricia A Clark, OD?

Mrs. Patricia A Clark, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number OPT4613.

Where does Mrs. Patricia A Clark, OD practice?

The practice location is 809 Williams St, Longmeadow, MA 01106-2060. The office can be reached at 413-567-6450 (phone) or 413-754-6723 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134194269 directly on the NPPES registry website.

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