OrganizationActive
Edward C. Clark,m.d.,p.a.
NPI 1609876846 · Ophthalmology Physician · Waldorf, MD
Edward C. Clark,m.d.,p.a. is a Ophthalmology Physician organization in Waldorf, MD (NPI 1609876846).
Provider details
- NPI number
- 1609876846
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Clark, Owner(301) 843-7711
- License
- D0017492 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
11355 Pembrooke Sq
Suite 107
Waldorf, MD 20603-4805
Phone: (301) 843-7711
Fax: (301) 932-9195
Approximate (ZIP-level) locationGet directions
Mailing address
11355 Pembrooke Sq
Waldorf, MD 20603-4805
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Edward C. Clark,m.d.,p.a.'s NPI number?
- Edward C. Clark,m.d.,p.a.'s National Provider Identifier (NPI) is 1609876846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward C. Clark,m.d.,p.a.?
- Edward C. Clark,m.d.,p.a. is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Edward C. Clark,m.d.,p.a. located?
- Edward C. Clark,m.d.,p.a.'s practice location on file with NPPES is 11355 Pembrooke Sq, Waldorf, MD 20603-4805.
- What is Edward C. Clark,m.d.,p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Edward C. Clark,m.d.,p.a. is (301) 843-7711.
- Who is the authorized official for Edward C. Clark,m.d.,p.a.?
- The authorized official listed on Edward C. Clark,m.d.,p.a.'s NPPES record is Edward Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward C. Clark,m.d.,p.a.'s NPI active?
- Yes — Edward C. Clark,m.d.,p.a.'s NPI (1609876846) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.