Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Raymond A Klark Jr., OPTICIAN

Individual provider Optician · NPI 1639292535

Mr. Raymond A Klark Jr., OPTICIAN is an Optician in Tonawanda, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

236 Pinewoods Ave
Tonawanda, NY 14150-7068
Phone: (716) 836-1909
Fax: (716) 434-7809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 4077 (NY)

Record details

NPI number1639292535
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedApril 8, 2007
Last updated in NPPESJuly 9, 2007

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