Whalio Doctors

NPI 1003862210

Anthony Ronald Clark, OD

Practitioner Optometrist Durham, NC

Practice location

Address
2216 E Nc Highway 54, Durham, NC 27713-2208
Phone
(919) 544-2020
Fax
(919) 433-0298
Mailing address
2216e Nc Highway 54, Durham, NC 27713-2208

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1360 (NC)

Registry record

NPI
1003862210
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 May 2006
Record last updated
3 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.