Tony Clark

NPI 1821685157 · on the registry since 2020

Practice

Address: 12200 W 95th St
Lenexa, KS 66215
Phone: (913) 894-2093
Fax: (913) 894-8167
Organisation at this address: Sams West Inc
Sam'S Club Optical
Jennifer Lininger, O.D. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas