Individual provider · Type 1 NPI

Kim M. Clark, OD

Optometrist · Portland, OR

NPI number 1215091095 Active

Practice location

12000 SE 82nd Avenue, #2012
Portland, OR 97266-7721

Fax (503) 652-6012

Mailing address

2318 NW Edgewood Pl
Portland, OR 97229-7618

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X2911ATI (OR)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1215091095

Kim M. Clark, OD's National Provider Identifier is 1215091095, issued on Dec 19, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Portland, OR. The record was last updated on May 11, 2009.