EDWARD OWEN CLARK LDOABOC NPI 1952012130

NPI Information

  • NPI: 1952012130
  • Provider Name: EDWARD OWEN CLARK, LDO,ABOC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 12000 IRON BRIDGE RD
    CHESTER, VA
    ZIP 23831
  • Phone: (804) 768-1273

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NPI Details

Edward Owen Clark, LDO,ABOC is an optician technician technologist in Chester, VA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Edward Owen Clark, LDO,ABOC NPI is 1952012130. 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:

12000 IRON BRIDGE RD
CHESTER, VA
ZIP 23831-459
Phone: (804) 768-1273

The enumeration date for this NPI number is 12/8/2022 and was last updated on 12/8/2022.

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
1156FX1800XTechnician/TechnologistOptician1101003836VIRGINIAYes

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: 11/21/2025

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