OrganizationActive
Dr. Kim M Clark & Associates LLC
NPI 1013141696 · Optometrist · Portland, OR
Provider details
- NPI number
- 1013141696
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kim Clark, Owner(503) 292-4033
- License
- 2911ATI (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12000 Se 82nd Avenue
#2012
Portland, OR 97266-7721
Phone: (503) 652-6001
Fax: (503) 652-6012
Street-level locationGet directions
Mailing address
2318 Nw Edgewood Pl
Portland, OR 97229-7618
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.