OrganizationActive
Philip H. Clark, O.D., P.A.
NPI 1629370929 · Optometrist · Russellville, AR
Philip H. Clark, O.D., P.A. is a Optometrist organization in Russellville, AR (NPI 1629370929).
Provider details
- NPI number
- 1629370929
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Philip Clark, Office Manager(479) 967-4711
- License
- AR2042 (AR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
302 N Phoenix Ave
Russellville, AR 72801-2828
Phone: (479) 967-4711
Fax: (479) 967-4485
Street-level locationGet directions
Mailing address
302 N Phoenix Ave
Russellville, AR 72801-2828
Other names (DBA / former)
- Doing business as
- Clark Eye Clinic
Registry dates
- Enumerated
- 2010-11-19
- Last updated
- 2012-10-26
Frequently asked questions
- What is Philip H. Clark, O.D., P.A.'s NPI number?
- Philip H. Clark, O.D., P.A.'s National Provider Identifier (NPI) is 1629370929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Philip H. Clark, O.D., P.A.?
- Philip H. Clark, O.D., P.A. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Philip H. Clark, O.D., P.A. located?
- Philip H. Clark, O.D., P.A.'s practice location on file with NPPES is 302 N Phoenix Ave, Russellville, AR 72801-2828.
- What is Philip H. Clark, O.D., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Philip H. Clark, O.D., P.A. is (479) 967-4711.
- Who is the authorized official for Philip H. Clark, O.D., P.A.?
- The authorized official listed on Philip H. Clark, O.D., P.A.'s NPPES record is Philip Clark, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Philip H. Clark, O.D., P.A.'s NPI active?
- Yes — Philip H. Clark, O.D., P.A.'s NPI (1629370929) is active in the NPPES registry as of the last update on 2012-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.