EDWARD C. CLARK,M.D.,P.A.
NPI 1609876846
Ophthalmology in Waldorf, MD

NPI Status: Active since July 29, 2005

Contact Information

11355 PEMBROOKE SQ
SUITE 107
WALDORF, MD
ZIP 20603
Phone: (301) 843-7711
Fax: (301) 932-9195

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  • Organization
  • Ophthalmology

About EDWARD C. CLARK,M.D.,P.A.

This page provides the complete NPI Profile along with additional information for Edward C. Clark,m.d.,p.a., a provider established in Waldorf, Maryland operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1609876846 assigned on July 2005. The practitioner's primary taxonomy code is 207W00000X with license number D0017492 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Edward C Clark M.d. (Owner)

NPI
1609876846
Provider Name
EDWARD C. CLARK,M.D.,P.A.
Entity Type
Organization
Location Address
11355 PEMBROOKE SQ SUITE 107 WALDORF, MD 20603
Location Phone
(301) 843-7711
Location Fax
(301) 932-9195
Mailing Address
11355 PEMBROOKE SQ SUITE 107 WALDORF, MD 20603
Mailing Phone
(301) 843-7711
Mailing Fax
(301) 932-9195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2005
Last Update Date
08-22-2020
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Ophthalmologists like Edward C. Clark,m.d.,p.a. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
D0017492
License State
MD
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDWARD C CLARK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(301) 843-7711

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609876846
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091671288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 7 + 1 + 2 + 8 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1609876846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497702203CHARLES CARE PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)11355 PEMBROOKE SQ STE 109
WALDORF, MD 20603
(301) 932-4200
1902006299JONES PEMBROOKE OPTICIANS, LLC
Organization
Technician/Technologist (Optician)11355 PEMBROOKE SQ SUITE 106
WALDORF, MD 20603
(301) 645-6822
1124028311 EDWARD C CLARK M.D.
Individual
Ophthalmology11355 PEMBROOKE SQ SUITE 107
WALDORF, MD 20603
(301) 843-7711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609876846, enumerated in the NPI registry as an "organization" on July 29, 2005

The provider is located at 11355 Pembrooke Sq Suite 107 Waldorf, Md 20603 and the phone number is (301) 843-7711

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

This NPI record was last updated on July 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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