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ALEXIA SYDNEY CLARK OD NPI 1265107213


NPI Information

NPI: 1265107213
Provider Name: ALEXIA SYDNEY CLARK, OD
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3200 S UNIVERSITY DR
DAVIE, FL
ZIP 33328
Phone: (954) 262-4100
Get Directions

Alexia Sydney Clark, OD is a pediatrics optometrist in Davie, FL with 3 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. Alexia Sydney Clark, OD NPI is 1265107213. 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:

3200 S UNIVERSITY DR
DAVIE, FL
ZIP 33328-018
Phone: (954) 262-4100

The NPI 1265107213 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).

The enumeration date for this NPI number is 8/11/2021 and was last updated on 1/4/2024.


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
1152W00000XOptometrist3707TENNESSEENo
2152WP0200XOptometristPediatrics3707TENNESSEENo
3152W00000XOptometrist6007FLORIDANo
4152WP0200XOptometristPediatricsOPC6007FLORIDAYes
5152W00000XOptometristOPC6007FLORIDANo

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.