OrganizationActive
Dr Michael Clark Optometrist PA
NPI 1407936008 · Optometrist · Mount Airy, NC
Dr Michael Clark Optometrist PA is a Optometrist organization in Mount Airy, NC (NPI 1407936008).
Provider details
- NPI number
- 1407936008
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Clark, Optometrist(336) 789-9031
- License
- 0884 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
602 S Renfro St
Mount Airy, NC 27030-4742
Phone: (336) 789-9031
Fax: (336) 789-8343
Street-level locationGet directions
Mailing address
602 S Renfro St
Mount Airy, NC 27030-4742
Other names (DBA / former)
- Doing business as
- Mt Airy Vision Center
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2013-03-21
Frequently asked questions
- What is Dr Michael Clark Optometrist PA's NPI number?
- Dr Michael Clark Optometrist PA's National Provider Identifier (NPI) is 1407936008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Michael Clark Optometrist PA?
- Dr Michael Clark Optometrist PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr Michael Clark Optometrist PA located?
- Dr Michael Clark Optometrist PA's practice location on file with NPPES is 602 S Renfro St, Mount Airy, NC 27030-4742.
- What is Dr Michael Clark Optometrist PA's phone number?
- The practice phone number listed in the NPPES registry for Dr Michael Clark Optometrist PA is (336) 789-9031.
- Who is the authorized official for Dr Michael Clark Optometrist PA?
- The authorized official listed on Dr Michael Clark Optometrist PA's NPPES record is Michael Clark, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Michael Clark Optometrist PA's NPI active?
- Yes — Dr Michael Clark Optometrist PA's NPI (1407936008) is active in the NPPES registry as of the last update on 2013-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.