Dr Christine D Clark, PHD, TVI, DTV - Optometrist in Bloomington, IL

Dr Christine D Clark, PHD, TVI, DTV is a Optometrist - Vision Therapy based in Bloomington, Illinois. Dr Christine D Clark is licensed to practice in Utah (license number NON NUMBERED LICENSE) and her current practice location is 221 Woodland Ave, Bloomington, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 824-5841.

NPI number for Dr Christine D Clark is 1043495179 and her current mailing address is 221 Woodland Ave, Bloomington, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043495179.

Contact Information

Dr Christine D Clark, PHD, TVI, DTV
221 Woodland Ave,
Bloomington, IL 61701-5659
(309) 824-5841
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Christine D Clark
GenderFemale
SpecialityOptometrist - Vision Therapy
Location221 Woodland Ave, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043495179
  • Provider Enumeration Date: 01/08/2008
  • Last Update Date: 01/08/2008

Medical Identifiers

Medical identifiers for Dr Christine D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043495179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WV0400XOptometrist - Vision Therapy NON NUMBERED LICENSE (Utah)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. Dr Christine D 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
Dr Christine D Clark, PHD, TVI, DTV
221 Woodland Ave,
Bloomington, IL 61701-5659

Ph: (309) 824-5841
Dr Christine D Clark, PHD, TVI, DTV
221 Woodland Ave,
Bloomington, IL 61701-5659

Ph: (309) 824-5841

Reviews and Comments


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