Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN NICOLE CLARK, OD
ActiveKRISTEN NICOLE CLARK, OD is a Optometrist healthcare provider located in CHAMPAIGN, Illinois. NPI 1306134317 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1306134317
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2011 (15.06723697358 yrs)
- Last Updated
- Aug 5, 2011
- License
-
046010447 (IL)
Practice Information
- Address
-
2435 VILLAGE GREEN PLCHAMPAIGN, IL, 618227676Browse IL providers · Browse ZIP 61822
- Phone
- 8003257706
- Fax
- 3098298397
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| NATHAN A CROUCH | O.D. | 1750386215 |
| MS. CHERIE A. OSHIRO-JOHNSON | O.D. | 1790762144 |
| DR. ERIK DUANE BURGWALD | OD | 1689644684 |
| DR. LAWRENCE HOWARD KESSLER | O.D. | 1194827642 |
| DR. MICHAEL GARRETT BALGEMANN | O.D. | 1861562530 |
| DR. EVELYN MARIE MOORE | O.D. | 1497826655 |
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.