National Provider Identifier Database

ANNA J CLARK, OD – NPI #1376831693
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

ANNA J CLARK, OD
4491 BENT BROTHERS BLVD.
COLORADO CITY, CO81019-9366
Phone: 719-676-3937
Fax: 719-676-4390
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ANNA J CLARK

NPI Number 1376831693
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/20/2011
Last updated 12/20/2016 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: 2855
  • CO Medicaid: 00685232
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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