MEDICARE: DR. LINDA CLARKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3977	OH

General Provider Information

NPI Number	:	1225154701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA CLARKSON

Provider Business Mailing Address
First Line	:	3030 SCIOTO ESTATES CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-4927
Country	:	US
Telephone Number	:	614-771-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	4729 REED RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3051
Country	:	US
Telephone Number	:	614-326-2020
Fax Number	:	614-457-9767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. LINDA CLARKSON ” Practice Location

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