Marichris Lim Clark, OD | |
66 Coulter Ave, Ardmore, PA 19003-2308 | |
(215) 388-7084 | |
(215) 494-4323 |
Full Name | Marichris Lim Clark |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 66 Coulter Ave, Ardmore, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225565997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC5396 (Florida) | Secondary |
152W00000X | Optometrist | 27OA00686200 (New Jersey) | Secondary |
152W00000X | Optometrist | OEG003493 (Pennsylvania) | Primary |
Provider Name | Daniel H Isaac Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639368038 PECOS PAC ID: 8325179781 Enrollment ID: O20100629000118 |
Mailing Address | Practice Location Address |
---|---|
Marichris Lim Clark, OD 4 Whalens Ct, Drexel Hill, PA 19026-3400 Ph: () - | Marichris Lim Clark, OD 66 Coulter Ave, Ardmore, PA 19003-2308 Ph: (215) 388-7084 |
Dr. Larysa Bilyk Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45 W Lancaster Ave, Ardmore, PA 19003 Phone: 610-642-1637 Fax: 484-417-6389 | |
James R Hall, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 W Lancaster Ave, Ardmore, PA 19003 Phone: 610-642-2151 Fax: 610-642-2190 | |
Dr. Larysa K Bilyk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45 W Lancaster Ave, Ardmore, PA 19003 Phone: 610-642-1637 Fax: 484-417-6389 | |
Thomas Ravas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 Coulter Ave, Ardmore, PA 19003 Phone: 610-686-3784 | |
Dr. Jack Hauler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 74 Coulter Ave, Ardmore, PA 19003 Phone: 610-896-0610 Fax: 610-896-0324 | |
See Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 39 Coulter, Ardmore, PA 19003 Phone: 610-726-9010 Fax: 610-726-9011 |