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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLARK OPTOMETRIC CENTER PA

Deactivated Organization

CLARK OPTOMETRIC CENTER PA is a Optometrist organization located in DURHAM, North Carolina. NPI 1588619217 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · DURHAM, NC

This NPI has been deactivated. The record was deactivated on April 3, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1588619217
Provider Type
Organization
NPI Issued
May 23, 2006 (16.86301369863 yrs)
Last Updated
Apr 28, 2025
Deactivated
Apr 3, 2023

Practice Information

Address
2216 NC E HWY 54
DURHAM, NC, 27713
Browse NC providers · Browse ZIP 27713
Phone
9195442020
Fax
9194330298
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.