TINA L CLARK LDO2206
NPI 1902664022
Technician/Technologist - Optician in Monroe, GA

Active since March 12, 2024
557 HIGHWAY 11, MONROE, GA 30655(678) 758-4783 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Technician/Technologist
  • Optician

About TINA CLARK

This page provides the complete NPI Profile along with additional information for Tina Clark, a provider established in Monroe, Georgia with a medical specialization in Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1902664022 assigned on March 2024. The practitioner's primary taxonomy code is 156FX1800X with license number LDO2206 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1902664022 Verify this NPI
Provider Name
TINA L CLARK LDO2206
Gender
Female
Entity Type
Individual
Location Address
557 HIGHWAY 11 MONROE, GA 30655
Location Phone
(678) 758-4783
Mailing Address
557 HIGHWAY 11 MONROE, GA 30655
Mailing Phone
(678) 758-4783
Is Sole Proprietor?
No
Enumeration Date
03-12-2024
Last Update Date
03-19-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
License No.
LDO2206
License State
GA
Taxonomy Description
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902664022, enumerated as an "individual" on March 12, 2024.

The provider is located at 557 HIGHWAY 11 MONROE, GA 30655 and the phone number is (678) 758-4783.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.