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Tara Clark, LDO
Optician in Fairlawn, Ohio
NPI 1932806940

Tara Clark is a Optician based in Fairlawn, OH and is specialized in Optician. Tara Clark practices in Fairlawn, OH and has the professional credentials of LDO. The NPI Number for Tara Clark is 1932806940 and holds a License No. OP.9876SC (Ohio).

The current practice location address for Tara Clark is 3750 W Market St Unit I, Fairlawn, OH and can be reached out via phone at 330-665-4268 and via fax at 330-666-8922.

Location: 3750 W Market St Unit I, Fairlawn, OH, 44333-2474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932806940
Provider Name
Tara Clark
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
3750 W Market St Unit I, Fairlawn, OH, 44333-2474
Phone Number
330-665-4268
Fax Number
330-666-8922
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3750 W Market St Unit I
City
Fairlawn
State
Ohio
Zip
44333-2474
Phone Number
330-665-4268
Fax Number
330-666-8922
person
Provider Business Mailing Address Details
Address
3750 W Market St Unit I
City
Fairlawn
State
Ohio
Zip
44333-2474
Phone Number
330-665-4268
Fax Number
330-666-8922
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP.9876SC (Ohio)
Definition
Definition to come...
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