Clark, Alexia Sydney
Clark, Alexia Sydney is an individual health care provider with primary practice located at 3200 S University Dr , Davie FL 33328-2018. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Clark, Alexia Sydney can be contacted via phone (954) 262-4100.Contact Information
Primary practice address
3200 S University Dr
Davie FL 33328-2018
Phone: (954) 262-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3707 | Tennessee |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3707 | Tennessee |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6007 | Florida |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPC6007 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC6007 | Florida |
Profile Details
| NPI number | 1265107213 |
|---|---|
| LBN Legal business name | Clark, Alexia Sydney |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2021 |
| Last updated | Jan 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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