Individual
DR. MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
200001250552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013MW
BCBS OF NC PROVIDER #
NC
01
—
1409898
UNITED MINE WORKERS
NC
01
—
3739
BLUE MEDICARE HMO
—
01
—
5612703280002
CIGNA
—
01
—
580000014
PALMETTO GBA--RAILROAD MEDICARE
NC
05
—
8909154
—
NC
Enumeration date
11/19/2005
Last updated
01/08/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up