National Provider Identifier Database

DOUGLAS C CLARK, OD – NPI #1134111511
Optometrist

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.


Contact Information

DOUGLAS C CLARK, OD
2617 HIGHWAY 31 S
PELHAM, AL35124-1322
Phone: 205-664-1575
Fax: 205-664-1578
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for DOUGLAS C CLARK

NPI Number 1134111511
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/22/2005
Last updated 06/10/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • AL License #: S-502-TA-105
  • AL Medicaid: 009933955
  • AL Other: 51505623 BLUE CROSS BLUE SHIELD
  • AL Other: T69158 HEALTHSPRING
  • AL Other: T69158 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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