Provider Type Icon

DR. STEPHEN E. CLARK M.D. NPI 1134122948


NPI Information

NPI: 1134122948
Provider Name: DR. STEPHEN E. CLARK, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
28370 KENSINGTON LN
SUITE A
PERRYSBURG, OH
ZIP 43551
Phone: (419) 874-3125
Get Directions

DR. Stephen E. Clark, M.D. is an ophthalmology in Perrysburg, OH with 33 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Stephen E. Clark, M.D. NPI is 1134122948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

28370 KENSINGTON LN
SUITE A
PERRYSBURG, OH
ZIP 43551-163
Phone: (419) 874-3125
Fax: (419) 874-8606

The NPI 1134122948 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/10/2012.


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
1207W00000XOphthalmology01041459AINDIANANo
2207W00000XOphthalmology4301069901MICHIGANNo
3207W00000XOphthalmology35063695OHIOYes

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
15814164OTHEROHIOAETNA
2CL0807192MEDICARE PINOHIO
302272OTHEROHIOPARAMOUNT HEALTH CARE
4000000281826OTHEROHIOANTHEM BLUE CROSS/SHIELD
50292679MEDICAIDOHIO
6F36988MEDICARE UPINOHIO
7P00010973MEDICARE PINOHIO

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.