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KHYRISTIENNE CLARK
NPI 1881574382
Technician/Technologist - Optometric Technician in Los Angeles, CA

Active since September 04, 2025
11301 WILSHIRE BLVD BLDG 304, LOS ANGELES, CA 90073(310) 478-3711 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khyristienne Clark NPPES

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

KHYRISTIENNE CLARK (NPI 1881574382) is an individual optometric technician in Los Angeles, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1881574382
Entity TypeIndividualFemale
Primary Taxonomy156FX1202X
Provider Legal NameKHYRISTIENNE CLARK
Location Address11301 WILSHIRE BLVD BLDG 304Los Angeles, CA 90073-1003
Mailing Address9636 S Harvard BlvdLos Angeles, CA 90047-3814 · (747) 295-3999
Phone(310) 478-3711
Sole ProprietorYes
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1881574382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · Optometric TechnicianEye and Vision Services Providers
Taxonomy Code156FX1202X
Definition
An optometric technician assists optometrists by performing duties, including but not limited to, basic eye testing, diagnostic tests, and assistance with corrective lenses.
11301 WILSHIRE BLVD BLDG 304, Los Angeles, CA 90073
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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 7

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

JONATHAN HERNANDEZ DIAZ
Prosthetist
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
EVELYNNE CHAVEZ OD
Optometrist
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
ANI AGABALIAN
Optometrist
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
FAINA KNOPOV
Technician/Technologist (Ophthalmic Assistant)
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3396
DANNELLE CHUNG
Optometrist
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
NANCY LIZET MARTINEZ CPED
Pedorthist
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
KEVIN CONROY COA
Technician/Technologist (Ophthalmic Assistant)
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3396

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 Khyristienne Clark's NPI number?

The NPI number for Khyristienne Clark is 1881574382. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Khyristienne Clark located?

Khyristienne Clark practices at 11301 Wilshire Blvd Bldg 304, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.

What is Khyristienne Clark's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optometric Technician, with taxonomy code 156FX1202X.

When was this NPI record last updated?

The NPPES record for Khyristienne Clark was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.