DR. CHRISTINE D CLARK PH.D. TVI DTV NPI 1043495179

NPI Information

NPI: 1043495179
Provider Name: DR. CHRISTINE D CLARK, PH.D., TVI, DTV
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
221 WOODLAND AVE
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 824-5841
Get Directions

DR. Christine D Clark, PH.D., TVI, DTV is a vision therapy optometrist in Bloomington, IL. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Christine D Clark, PH.D., TVI, DTV NPI is 1043495179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 WOODLAND AVE
BLOOMINGTON, IL
ZIP 61701-659
Phone: (309) 824-5841

The enumeration date for this NPI number is 1/8/2008 and was last updated on 1/8/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WV0400X	Optometrist	Vision Therapy	NON NUMBERED LICENSE	UTAH	Yes

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: 11/14/2023

NPI Synchronization or Removal

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