ANN M CLARK O.D.
NPI 1093870925
Optometrist in Redondo Beach, CA

Q: What is Ann Clark's NPI number?

The NPI number for Ann Clark is 1093870925. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Ann Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ann Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2006

1760 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277(310) 540-2970 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ann M Clark O.d. NPPES

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

ANN M CLARK O.D. (NPI 1093870925) is an individual optometrist in Redondo Beach, California, licensed in California (11622T) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1093870925

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameANN M CLARKCredential: O.D.

Location Address1760 S PACIFIC COAST HWYRedondo Beach, CA 90277-5902

Mailing Address1908 Rockefeller Ln, #aRedondo Beach, CA 90278-3506 · (310) 798-9255 · Fax (310) 798-9255

Phone(310) 540-2970

Sole ProprietorNo

Enumeration DateDecember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093870925 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 CA · 11622T

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.

1760 S PACIFIC COAST HWY, Redondo Beach, CA 90277

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedWOP11622CA

Medicare UPINU91549CA

Other Providers at the Same Location NPPES 11

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

JENNIFER DJIE WITKOWSKI, O.D. A PROFESSIONAL CORPORATION

Optometrist