Dr. Kenneth Eugene Clark , OD
Optometrist • Mount Vernon, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Clark, OD was a registered Optometrist practicing in Mount Vernon, IL. Throughout an active medical career spanning 18 years, Dr. Clark provided care at the practice location at 110 DAVIDSON RD until profile deactivation on 2024-02-14.
Practice Location & Contact Primary Location
110 Davidson Rd
Mount Vernon, IL 628646741
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Mount Vernon, IL
Practicing in Mount Vernon, IL (2783 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Practice Associates & Co-Workers
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Optometrist
Career & Practice History Timeline
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Record deactivated on February 14, 2024
NPI status registered as active in NPPES database
Registered at 110 DAVIDSON RD, MOUNT VERNON, IL 628646741 (Tel: 6182445748)
Registered at 110 DAVIDSON RD, MOUNT VERNON, IL 628646741 (Tel: 6182445748)
Recorded as KENNETH CLARK, O.D.
Optometrist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
110 Davidson Rd
Mount Vernon, IL 628646741
Phone: 6182445748
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