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NPI Code Detail

MEDICARE: CLARKE EYECARE CENTER, LLP

MEDICARE: CLARKE EYECARE CENTER, LLP
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
1152W00000XOptometrist2116TTX
2152W00000XOptometrist5107TGTX
3152W00000XOptometrist5108TGTX

General Provider Information

NPI Number : 1730398306
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARKE EYECARE CENTER, LLP
Provider Business Mailing Address
First Line : 4314 KEMP BLVD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-3716
Country : US
Telephone Number : 940-691-5645
Fax Number : 940-691-5653
Provider Business Practice Location Address
First Line : 4314 KEMP BLVD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-3716
Country : US
Telephone Number : 940-691-5645
Fax Number : 940-691-5653
Authorized Official
Title or Position : OWNER
Name : DR. DANIEL B. CLARKE
Credential : O.D.
Telephone Number : 940-691-5645
Provider Enumeration Date : 05/21/2007
Last Update Date : 03/10/2011

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Directions to “CLARKE EYECARE CENTER, LLP ” Practice Location

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