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Contact Information

CHRISTOPHER I CLARK, OD
100 4TH AVE N
SUITE 145
SEATTLE, WA98109-4905
 Phone: 206-728-7505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHRISTOPHER I CLARK · (Male)

NPI # 1265461594
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/30/2006
Last updated 05/21/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # OD00003035TX
  • WA Other CL4555 REGENCE WA HEALTH
  • WA Other 143253 WA DEPT OF LABOR & INDUST
Hospital affiliation(s) Not Available
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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