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DR. KIM M CLARK & ASSOCIATES LLC
NPI 1013141696
Optometrist in Portland, OR

Active since May 11, 2009
12000 SE 82ND AVENUE, #2012, PORTLAND, OR 97266(503) 652-6001(503) 652-6012 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kim M Clark & Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM M CLARK & ASSOCIATES LLC (NPI 1013141696) is a healthcare organization registered as an optometrist in Portland, Oregon and active in the NPI registry since May 2009. The organization lists Kim M Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1013141696
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. KIM M CLARK & ASSOCIATES LLC
Location Address12000 SE 82ND AVENUE, #2012Portland, OR 97266-7721
Mailing Address2318 Nw Edgewood PlPortland, OR 97229-7618 · (503) 292-4033 · Fax (503) 292-2474
Phone(503) 652-6001
Fax(503) 652-6012
Organization SubpartNo
Authorized OfficialKim M ClarkOwner · (503) 292-4033
Enumeration DateMay 11, 2009
✔ NPI 1013141696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · 2911ATI
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12000 SE 82ND AVENUE, Portland, OR 97266
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Other Identifiers 1

Medicare UPINU000009413UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIM M CLARK O.D.
Optometrist
12000 SE 82ND AVENUE, #2012
PORTLAND, OR 97266
Multnomah County (503) 652-6001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Kim M Clark & Associates LLC's NPI number?

The NPI number for Dr. Kim M Clark & Associates LLC is 1013141696. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Dr. Kim M Clark & Associates LLC located?

Dr. Kim M Clark & Associates LLC is located at 12000 SE 82nd Avenue #2012, Portland, OR 97266. The listed phone number is (503) 652-6001.

What is Dr. Kim M Clark & Associates LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Dr. Kim M Clark & Associates LLC was last updated on May 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.