DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DWIGHT EUGENE CLARK, O.D.

Active Sole Proprietor

Optometrist · RANCHO CORDOVA, CA

Registration Details

NPI Number
1043321169
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.689467973081 yrs)
Last Updated
Nov 28, 2011
License
5512 (CA)
Sole Proprietor
Yes

Practice Information

Address
11216 TRINITY RIVER DRIVE
RANCHO CORDOVA, CA, 95670
Browse CA providers · Browse ZIP 95670
Phone
9166356161
Fax
9166313788
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in RANCHO CORDOVA, CA

Name Credential NPI
DR. GARY C WHITE O.D. 1336201680
ROBERT THOMAS TRUMM O.D. 1780736033
ALLAN HENRY VIOLINI O.D. 1952453110
ANN MIYAMURA O.D. 1316090020
STEVEN ONG O.D., M.S. 1922150796
DR. JENNIFER MARIE MAYER O.D. 1336294909
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.