NPI 1063142693

Jamie L Clark, ABOCNCLEC

Practitioner Optician Pikeville, KY

Practice location

Address: 254 Cassidy Blvd, Pikeville, KY 41501-1426
Phone: (606) 432-0838
Fax: (606) 432-7658

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 277978 (KY)

Other Technician/Technologist providers in Kentucky →

Registry record

NPI: 1063142693
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2022
Record last updated: 14 Mar 2023

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.