Provider Demographics
NPI:1043202930
Name:CLARK, FRANCIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:CLARK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1609 WOODBOURNE RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1500
Mailing Address - Country:US
Mailing Address - Phone:215-547-1818
Mailing Address - Fax:215-547-5174
Practice Address - Street 1:331 N YORK RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2033
Practice Address - Country:US
Practice Address - Phone:215-672-4300
Practice Address - Fax:215-672-9524
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2023-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038937E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007026401Medicaid
PA007026401Medicaid
PAE67815Medicare UPIN
PA643788Medicare PIN