Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward C. Clark, MD, PA

Organization Ophthalmology Physician · NPI 1609876846

Edward C. Clark, MD, PA is an Ophthalmology Physician in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2005.

Licensed in
MD
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11355 Pembrooke Sq Ste 107
Waldorf, MD 20603-4805
Phone: (301) 843-7711
Fax: (301) 932-9195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence D0017492 (MD)

Record details

NPI number1609876846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Owner · (301) 843-7711
NPI enumeratedJuly 29, 2005
Last updated in NPPESAugust 22, 2020
Mailing address11355 Pembrooke Sq, Suite 107, Waldorf, MD 20603-4805

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