Brian M Clark is a Louisville, Kentucky based male Optometrist with 16 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brian M Clark is 1742DT for Optometry in Kentucky. Brian M Clark examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Brian M Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7113095498
Enrollment ID:
I20081014000583
NPI Number:
1164686572
NPI Enumeration Date:
15 Jul, 2008
NPI Last Update On:
20 Oct, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian M Clark are as mentioned below.
License Number
Specialization
State
Status
1742DT
Optometry
Kentucky
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Brian M Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Gaddie Eye Centers Llc (6103898895)
9
Other Medical Identifiers:
Other legacy medical identifiers associated with Brian M Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00850448
Other
RR MEDICARE
7100113750
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7635 Shelbyville Rd, Louisville, Kentucky
Zip:
40222-5409
Phone Number:
502-423-8500
Fax Number:
502-339-0571
Patients can reach Brian M Clark at 7635 Shelbyville Rd, Louisville, Kentucky or can call to book an appointment on 502-423-8500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Laura Lea Bassett, OD 26+ yr exp.Speciality: Corneal and Contact Management Optometrist Address: 7635 Shelbyville Rd, KY Phone: 502-423-8500 Fax: 502-584-2365