Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHRISTINE D CLARK, PH.D., TVI, DTV
Active Sole ProprietorDR. CHRISTINE D CLARK, PH.D., TVI, DTV is a Vision Therapy Optometrist healthcare provider located in BLOOMINGTON, Illinois. NPI 1043495179 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1043495179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2008 (18.617026396736 yrs)
- Last Updated
- Jan 8, 2008
- License
-
NON NUMBERED LICENSE (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
221 WOODLAND AVEBLOOMINGTON, IL, 617015659Browse IL providers · Browse ZIP 61701
- Phone
- 3098245841
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.