Mrs Lisamarie Helen Clark, OD - Optometrist in Fort Worth, TX

Mrs Lisamarie Helen Clark, OD is a Optometrist based in Fort Worth, Texas. Mrs Lisamarie Helen Clark is licensed to practice in Texas (license number 7523) and her current practice location is 7201 Boat Club Rd, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at (817) 750-2233.

NPI number for Mrs Lisamarie Helen Clark is 1457620957 and her current mailing address is 7201 Boat Club Rd, Fort Worth, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457620957.

Contact Information

Mrs Lisamarie Helen Clark, OD
7201 Boat Club Rd,
Fort Worth, TX 76179-4555
(817) 750-2233
(817) 750-2266

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lisamarie Helen Clark
GenderFemale
SpecialityOptometrist
Location7201 Boat Club Rd, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457620957
  • Provider Enumeration Date: 12/29/2011
  • Last Update Date: 12/29/2011

Medical Identifiers

Medical identifiers for Mrs Lisamarie Helen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457620957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 7523 (Texas)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. Mrs Lisamarie Helen 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 AddressPractice Location Address
Mrs Lisamarie Helen Clark, OD
7201 Boat Club Rd,
Fort Worth, TX 76179-4555

Ph: (817) 750-2233
Mrs Lisamarie Helen Clark, OD
7201 Boat Club Rd,
Fort Worth, TX 76179-4555

Ph: (817) 750-2233

Reviews and Comments


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