Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY DUSTIN CLARK, M.D.
ActiveOphthalmology · LOUISVILLE, KY
Registration Details
- NPI Number
- 1073838850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2010 (16.06244127439 yrs)
- Last Updated
- Jul 11, 2014
- License
-
47098 (KY)
Practice Information
- Address
-
301 E MUHAMMAD ALI BLVDLOUISVILLE, KY, 402021511Browse KY providers · Browse ZIP 40202
- Phone
- 5025880550
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| JOHN ANDREW MILLIN | M.D. | 1730182221 |
| CONNIE MEREDITH | MD | 1972504819 |
| DR. NORMAN D RADTKE | M.D. | 1073514717 |
| DR. LLOYD ROSS TAUSTINE | MD | 1437151099 |
| THEODORE M WANDZILAK | MD | 1013909753 |
| C THOMAS MORAN | MD | 1902890783 |
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.