CLINIC OPTICAL
NPI 1508986167
Eyewear Supplier in Bowling Green, KY

Q: What is Clinic Optical's NPI number?

The NPI number for Clinic Optical is 1508986167. It was assigned to this organization in the NPPES registry on March 29, 2007.

Q: What is Clinic Optical's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Q: When was this NPI record last updated?

The NPPES record for Clinic Optical was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 29, 2007

201 PARK ST, BOWLING GREEN, KY 42101(270) 780-0594(270) 783-3361 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clinic Optical NPPES

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

CLINIC OPTICAL (NPI 1508986167) is a healthcare organization registered as an eyewear supplier in Bowling Green, Kentucky and active in the NPI registry since March 2007. The organization lists Jennifer Wentworth, Ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1508986167

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameCLINIC OPTICAL

Location Address201 PARK STBowling Green, KY 42101-1759

Mailing Address201 Park StBowling Green, KY 42101-1759 · (270) 780-0594 · Fax (270) 783-3361

Phone(270) 780-0594

Fax(270) 783-3361

Organization SubpartNo

Authorized OfficialJennifer WentworthOphthalmologist · (270) 780-0594

Enumeration DateMarch 29, 2007

Last NPPES UpdateMay 7, 2008

✔ NPI 1508986167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

License✔ Licensed in KY · 102090

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedTechnician/Technologist · OphthalmicTaxonomy 156FX1100X · License E82360 (KY)

201 PARK ST, Bowling Green, KY 42101

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Other Identifiers 1

Medicare NSC1282040001

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. PARISA SAMIMI MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)