| Kathryn M Clark, OD | |
|
2101 Jacob St. Suite 201, Valley Prof. Center South, Wheeling, WV 26003-6390 | |
| (304) 242-9245 | |
| (304) 242-6870 |
| Full Name | Kathryn M Clark |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2101 Jacob St. Suite 201, Wheeling, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750449252 | NPI | - | NPPES |
| DG8768 | Other | WV | RAILROAD MEDICARE WV GROUP PIN |
| DG5587 | Other | OH | RAILROAD MEDICARE GROUP OH |
| 0149721000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 831-OD (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn M Clark, OD 617 Glenhite Ave, Wheeling, WV 26003-6611 Ph: (304) 233-1482 | Kathryn M Clark, OD 2101 Jacob St. Suite 201, Valley Prof. Center South, Wheeling, WV 26003-6390 Ph: (304) 242-9245 |
Dr. Douglas Kent Graebe, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 50 Washington Ave, Wheeling, WV 26003 Phone: 740-695-3822 Fax: 740-695-3822 | |
Dr. John Scott Pockl, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Lumber Ave, Wheeling, WV 26003 Phone: 304-242-5544 Fax: 304-242-2560 | |
Dr. Peter G Dormas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Lumber Ave, Wheeling, WV 26003 Phone: 304-242-5544 | |
Joseph M. Bannon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 National Rd, Wheeling, WV 26003 Phone: 304-234-4455 Fax: 304-234-4452 | |
Pockl-dormas Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2106 Lumber Ave, Wheeling, WV 26003 Phone: 304-242-5544 Fax: 304-242-2560 | |
Joseph M. Bannon Od Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1021 National Rd, Wheeling, WV 26003 Phone: 304-234-4455 |