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TERRENCE T. CLARK O.D. NPI 1629135934


NPI Information

NPI: 1629135934
Provider Name: TERRENCE T. CLARK, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5821 SPRAGUE CT.
TACOMA, WA
ZIP 98409
Phone: (253) 396-4200
Get Directions

Terrence T. Clark, O.D. is an optometrist in Tacoma, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Terrence T. Clark, O.D. NPI is 1629135934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5821 SPRAGUE CT.
TACOMA, WA
ZIP 98409
Phone: (253) 396-4200

The NPI 1629135934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/3/2007 and was last updated on 5/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOD00001204WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T02963MEDICARE UPINWASHINGTON
2GAB19300MEDICARE PINWASHINGTON
3G001050886MEDICARE PINWASHINGTON
4GAB19299MEDICARE PINWASHINGTON
5GAB19301MEDICARE PINWASHINGTON
6G8872278MEDICARE PINWASHINGTON
72073807MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.