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EDWARD C. CLARK,M.D.,P.A.
NPI 1609876846
Ophthalmology in Waldorf, MD

Active since July 29, 2005
11355 PEMBROOKE SQ, SUITE 107, WALDORF, MD 20603(301) 843-7711(301) 932-9195 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward C. Clark,m.d.,p.a. NPPES

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

EDWARD C. CLARK,M.D.,P.A. (NPI 1609876846) is a healthcare organization registered as an ophthalmology in Waldorf, Maryland and active in the NPI registry since July 2005. The organization lists Edward C Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1609876846
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEDWARD C. CLARK,M.D.,P.A.
Location Address11355 PEMBROOKE SQ, SUITE 107Waldorf, MD 20603-4805
Mailing Address11355 Pembrooke Sq, Suite 107Waldorf, MD 20603-4805 · (301) 843-7711 · Fax (301) 932-9195
Phone(301) 843-7711
Fax(301) 932-9195
Organization SubpartNo
Authorized OfficialEdward C ClarkOwner · (301) 843-7711
Enumeration DateJuly 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609876846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MD · D0017492
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
11355 PEMBROOKE SQ, Waldorf, MD 20603
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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 3

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

EDWARD C CLARK M.D.
Ophthalmology
11355 PEMBROOKE SQ, SUITE 107
WALDORF, MD 20603
Charles County (301) 843-7711
CHARLES CARE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
11355 PEMBROOKE SQ, STE 109
WALDORF, MD 20603
Charles County (301) 932-4200
JONES PEMBROOKE OPTICIANS, LLC
Technician/Technologist (Optician)
11355 PEMBROOKE SQ, SUITE 106
WALDORF, MD 20603
Charles County (301) 645-6822

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 Edward C. Clark,m.D.,p.A.'s NPI number?

The NPI number for Edward C. Clark,m.D.,p.A. is 1609876846. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Edward C. Clark,m.D.,p.A. located?

Edward C. Clark,m.D.,p.A. is located at 11355 Pembrooke Sq Suite 107, Waldorf, MD 20603. The listed phone number is (301) 843-7711.

What is Edward C. Clark,m.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Edward C. Clark,m.D.,p.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.