Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA L CLARK, LDO2206
ActiveTINA L CLARK, LDO2206 is a Optician, Dispensing healthcare provider located in MONROE, Georgia. NPI 1902664022 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MONROE, GA
Registration Details
- NPI Number
- 1902664022
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2024 (2.3850805471084 yrs)
- Last Updated
- Mar 19, 2024
- License
-
LDO2206 (GA)
Practice Information
- Address
-
557 HIGHWAY 11MONROE, GA, 306556078Browse GA providers · Browse ZIP 30655
- Phone
- 6787584783
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in MONROE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. NORMAN A NICHOLAS | L.D.O. | 1447237086 |
| PAMELA EDMONDSON CORRELL | LDO | 1710105416 |
| NYDIA JEANETTE LONG | LDO | 1972360998 |
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.