MT AIRY VISION CENTER
NPI 1407936008
Optometrist in Mount Airy, NC

Q: What is Dr Michael Clark Optometrist PA's NPI number?

The NPI number for Dr Michael Clark Optometrist PA is 1407936008. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Mt Airy Vision Center.

Q: What is Dr Michael Clark Optometrist PA's specialty?

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

Active since October 17, 2006

602 S RENFRO ST, MOUNT AIRY, NC 27030(336) 789-9031(336) 789-8343 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mt Airy Vision Center NPPES

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

MT AIRY VISION CENTER (NPI 1407936008) is a healthcare organization registered as an optometrist in Mount Airy, North Carolina and active in the NPI registry since October 2006. The organization lists Michael Clark, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1407936008

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR MICHAEL CLARK OPTOMETRIST PA

Location Address602 S RENFRO STMount Airy, NC 27030-4742

Mailing Address602 S Renfro StMount Airy, NC 27030-4742 · (336) 789-9031 · Fax (336) 789-8343

Phone(336) 789-9031

Fax(336) 789-8343

Organization SubpartNo

Authorized OfficialMichael ClarkOptometrist · (336) 789-9031

Enumeration DateOctober 17, 2006

Last NPPES UpdateMarch 21, 2013

✔ NPI 1407936008 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 NC · 0884

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.

602 S RENFRO ST, Mount Airy, NC 27030

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Other Names 1

Doing Business AsMt Airy Vision Center

Other Identifiers 10

Other1409898United Mine Workers

Medicare UPINT64596NC

Medicare NSC0474540001NC

Medicare PIN246019NC

Other3739NC · Blue Medicare Hmo

Other580000014NC · Palmetto Gba--railroad Medicare

Medicaid89013MWNC

Other9203311VA · Virginia Medicaid

Other=========0002Cigna

Other013MWNC · Bcbs Of Nc

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. MICHAEL CLARK OD

Optometrist

602 S RENFRO ST
MOUNT AIRY, NC 27030

Surry County (336) 789-9031

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 Michael Clark Optometrist PA's NPI number?

The NPI number for Dr Michael Clark Optometrist PA is 1407936008. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Mt Airy Vision Center.

Where is Dr Michael Clark Optometrist PA located?

Dr Michael Clark Optometrist PA is located at 602 S Renfro St, Mount Airy, NC 27030. The listed phone number is (336) 789-9031.

What is Dr Michael Clark Optometrist PA'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 Michael Clark Optometrist PA was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.