Individual
MARICHRIS LIM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
933 BALTIMORE PIKE STE 102, GLEN MILLS, PA 19342-1016
(215) 614-3869
(484) 841-2262
Mailing address
4 WHALENS CT, DREXEL HILL, PA 19026-3400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00686200
NJ
152W00000X
Optometrist
Primary
OEG003493
PA
152W00000X
Optometrist
OPC5396
FL
Other
Enumeration date
05/12/2017
Last updated
01/11/2025
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