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Deactivated NPI 1447535620 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Leal Clark , MD

Ophthalmology • Johnson City, TN

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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. Robert Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 19, 2011
NPI Deactivation Date February 11, 2019
Total Practice Duration ~8 Years of Practice (2011 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Clark, MD was a registered Ophthalmology practicing in Johnson City, TN. Throughout an active medical career spanning 8 years, Dr. Clark provided care at the practice location at 901 FOREST AVE. until profile deactivation on 2019-02-11.

Practice Location & Contact Primary Location

Practice Address

901 Forest Ave.

Johnson City, TN 37601

Telephone 9239280175

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Johnson City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Johnson City, TN (395 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TN 6867887

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 11, 2019

Record deactivated on February 11, 2019

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2011

Registered at 901 FOREST AVE., JOHNSON CITY, TN 37601 (Tel: 9239280175)

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Updated Business Mailing Address October 19, 2011

Registered at 901 FOREST AVE., JOHNSON CITY, TN 37601 (Tel: 9239280175)

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Provider Name / Credentials Updated October 19, 2011

Recorded as ROBERT CLARK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Ophthalmology (License #6867887 in TN)

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Initial NPI Registration & Enumeration October 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447535620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2011
Last Update: October 19, 2011
Deactivation Date: February 11, 2019

Mailing Address

901 Forest Ave.

Johnson City, TN 37601

Phone: 9239280175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.