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Active NPI 1750449252 Individual Practitioner Female Practitioner

Dr. Kathryn M Clark , OD

Optometrist • Wheeling, WV

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Clark, OD is a registered healthcare professional specializing in Optometrist in Wheeling, WV. Practice services are available at 2101 JACOB ST. SUITE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 Jacob St. Suite 201
Valley Prof. Center South

Wheeling, WV 260036390

Telephone 3042429245
Fax 3042426870
Associated Practice Facility / Clinic
🏢 Raymond A Bannan Facility NPI 1841351400

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wheeling, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Wheeling, WV (286 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WV 831-OD

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0149721000 (WV)
Commercial Insurance / Payer ID Railroad Medicare Wv Group Pin
DG8768 (WV)
Commercial Insurance / Payer ID Railroad Medicare Group Oh
DG5587 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Raymond Bannan

Ophthalmology

NPI 1548328875

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 04, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2011

Registered at 2101 JACOB ST. SUITE 201, VALLEY PROF. CENTER SOUTH, WHEELING, WV 260036390 (Tel: 3042429245)

📍
Updated Business Mailing Address May 04, 2011

Registered at 617 GLENHITE AVE, WHEELING, WV 260036611 (Tel: 3042331482)

👤
Provider Name / Credentials Updated May 04, 2011

Recorded as KATHRYN CLARK, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2011

Optometrist (License #831-OD in WV)

🟢
Initial NPI Registration & Enumeration December 05, 2006

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: 1750449252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: May 04, 2011
Sole Proprietor: Yes

Mailing Address

617 Glenhite Ave

Wheeling, WV 260036611

Phone: 3042331482

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.