Amber Clark, is a
Optometrist physician based in Woodstock, Georgia. Amber Clark is licensed to practice in Georgia (license number OPT003176) and her current practice location is 12182 Highway 92, Woodstock, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 516-4719.
NPI number for Amber Clark is 1487206439 and her current mailing address is 2759 Northgate Ct Nw, Acworth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487206439.
Physician's Profile
| Full Name | Amber Clark |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 12182 Highway 92, Woodstock, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487206439
- Provider Enumeration Date: 07/10/2019
- Last Update Date: 07/10/2019
Medical Identifiers
Medical identifiers for Amber Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487206439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | OPT003176 (Georgia) | Secondary |
| 152W00000X | Optometrist | OPT003176 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amber Clark,
2759 Northgate Ct Nw,
Acworth, GA 30101-6898
Ph: () - | Amber Clark,
12182 Highway 92,
Woodstock, GA 30188-4885
Ph: (770) 516-4719 |
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