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DR. MICHAEL CLARK OD
NPI 1851373252
Optometrist in Mount Airy, NC

Active since November 19, 2005
602 S RENFRO ST, MOUNT AIRY, NC 27030(336) 789-9031(336) 789-8343 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Clark Od NPPES

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

DR. MICHAEL CLARK OD (NPI 1851373252) is an individual optometrist in Mount Airy, North Carolina, licensed in North Carolina (200001250552) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1851373252
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL CLARKCredential: OD
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
Sole ProprietorNo
Enumeration DateNovember 19, 2005
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1851373252 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 · 200001250552
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 Identifiers 9

Other5612703280002Cigna
Medicare PIN246019NC
Medicare UPINT64596NC
Medicare NSC0474540001NC
Other013MWNC · Bcbs Of Nc Provider #
Other1409898NC · United Mine Workers
Other3739Blue Medicare Hmo
Other580000014NC · Palmetto Gba--railroad Medicare
Medicaid8909154NC

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 OPTOMETRIST PA
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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1851373252. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Where is Michael Clark located?

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

What is Michael Clark'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 Michael Clark was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.