Individual
DAVID ERIC CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2565 CEANOTHUS AVE # 155, CHICO, CA 95973-7615
(530) 899-3939
Mailing address
2565 CEANOTHUS AVE 155, CHICO, CA 95973-7615
(530) 899-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912197331
BLUE CROSS
CA
01
—
SD0113020
BLUE SHIELD
CA
05
—
SD0113020
—
CA
Enumeration date
05/26/2006
Last updated
03/07/2023
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