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NPI · 1215091095 · NPPES-sourced

Dr. Kim Clark O.D.

ActiveOptometrist
NPI Number
1215091095
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(503) 652-6001
License OR · 2911ATI
Last Updated
Enumerated
Primary practice addressOR · 97266-7721
12000 Se 82nd Avenue, #2012Portland, OR 97266-7721
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Also known as

  • Professional nameClark, Kim M

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1215091095 is registered to Dr. Kim Clark O.D., a Optometrist practising at 12000 Se 82nd Avenue, #2012 in Portland, Oregon. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Kim Clark O.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kim Clark O.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Kim Clark O.D. directly at (503) 652-6001.

Frequently asked

Yes. NPI 1215091095 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 652-6001.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kim Clark O.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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