National Provider Identifier
Candace Clark
Candace Clark is listed in the NPPES registry with a primary specialty of Optician in Painted Post, NY and a listed phone number of (607) 937-9885.
Profile Overview
- NPI
- 1912724691
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- September 24, 2024
- Last Updated
- September 24, 2024
Practice Location
- 3217 Silverback Ln
- Painted Post, NY 14870-8911
Phone: (607) 937-9885
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1912724691
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Candace
- Mailing Street Address
- 3217 Silverback Ln
- Mailing City
- Painted Post
- Mailing State
- NY
- Mailing ZIP Code
- 14870-8911
- Mailing Country
- US
- Practice Street Address
- 3217 Silverback Ln
- Practice City
- Painted Post
- Practice State
- NY
- Practice ZIP Code
- 14870-8911
- Practice Country
- US
- Practice Phone
- (607) 937-9885
- Enumeration Date
- September 24, 2024
- Last Updated
- September 24, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)