person
Mr. Christopher M Clark, LICENSEDOPTICIAN
Optician in Roanoke, Virginia
NPI 1801063664

Christopher M Clark is a Optician based in Roanoke, VA and is specialized in Optician. Christopher M Clark practices in Roanoke, VA and has the professional credentials of LICENSEDOPTICIAN. The NPI Number for Christopher M Clark is 1801063664 and holds a License No. 1101 002026 (Virginia).

The current practice location address for Christopher M Clark is 1960 Electric Rd, Roanoke, VA and can be reached out via phone at 540-776-9722.

Location: 1960 Electric Rd, Roanoke, VA, 24019-2563
person
Provider Profile Details
NPI Number
1801063664
Provider Name
Christopher M Clark
Credential
LICENSEDOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1960 Electric Rd, Roanoke, VA, 24019-2563
Phone Number
540-776-9722
Fax Number
Provider Enumeration Date
05/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OP2378 01 VA EYEMED VISION CARE
institution
Provider Business Practice Location Address Details
Address
1960 Electric Rd
City
State
Zip
24018-1601
Phone Number
540-776-9722
Fax Number
person
Provider Business Mailing Address Details
Address
1960 Electric Rd
City
State
Zip
24018-1601
Phone Number
540-776-9722
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1101 002026 (Virginia)
Definition
Definition to come...
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