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Contact Information

CLARK EYE CARE CENTER
810 NE 25TH AVE
OCALA, FL34470
 Phone: 352-732-0046
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CLARK EYE CARE CENTER

NPI # 1598944654
LBN Legal business name CLARK EYE CARE CENTER
Authorized official MATTHEW LENTSCH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2007
Last updated 05/22/2019 - About 7 years ago
Identifiers
FL License # OPC5388
FL Medicaid 086895700
Other DC2053 MEDICARE NSC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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