TINA L CLARK LDO2206
NPI 1902664022
Technician/Technologist - Optician in Monroe, GA
About Tina L Clark Ldo2206 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA L CLARK LDO2206 (NPI 1902664022) is an individual optician in Monroe, Georgia, licensed in Georgia (LDO2206) and active in the NPI registry since March 2024.
NPPES Registry Identity
Specialties & Licenses
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 Tina Clark's NPI number?
The NPI number for Tina Clark is 1902664022. It was assigned to this individual provider in the NPPES registry on March 12, 2024.
Where is Tina Clark located?
Tina Clark practices at 557 Highway 11, Monroe, GA 30655. The listed phone number is (678) 758-4783.
What is Tina Clark's specialty?
The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.
When was this NPI record last updated?
The NPPES record for Tina Clark was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.