JOLYNN CLARK ABO, NCLE – NPI #1730347303
Technician/Technologist

An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

JOLYNN CLARK is a technician located in PORTLAND, OR. NPPES has assigned the NPI number 1730347303 to JOLYNN CLARK on May 29, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 156FC0801X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Contact Lens Fitter

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOLYNN CLARK below.

NPI Profile for
JOLYNN CLARK

NPI Number
1730347303
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JOLYNN CLARK
Credentials
ABO, NCLE
Primary location
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone: (503) 669-3995 Fax: (503) 669-3956
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FC0801X
- Technician/Technologist / Contact Lens Fitter (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.