| Dr Michael Clark, OD | |
|
602 S Renfro St, Mount Airy, NC 27030-4742 | |
| (336) 789-9031 | |
| (336) 789-8343 |
| Full Name | Dr Michael Clark |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 602 S Renfro St, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851373252 | NPI | - | NPPES |
| 580000014 | Other | NC | PALMETTO GBA--RAILROAD MEDICARE |
| 1409898 | Other | NC | UNITED MINE WORKERS |
| 5612703280002 | Other | CIGNA | |
| 8909154 | Medicaid | NC | |
| 013MW | Other | NC | BCBS OF NC PROVIDER # |
| 3739 | Other | BLUE MEDICARE HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 200001250552 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Clark, OD 602 S Renfro St, Mount Airy, NC 27030-4742 Ph: (336) 789-9031 | Dr Michael Clark, OD 602 S Renfro St, Mount Airy, NC 27030-4742 Ph: (336) 789-9031 |
Mt Airy Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 602 S Renfro St, Mount Airy, NC 27030 Phone: 336-789-9031 Fax: 336-789-8343 | |
Dr. David Ray Wells, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 906 W Pine St, Suite 200, Mount Airy, NC 27030 Phone: 336-719-2000 Fax: 888-241-5078 | |
Mr. Dexter Wayne Street, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 913 Worth St, Mount Airy, NC 27030 Phone: 336-786-8828 Fax: 336-786-5977 |