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

DR. MELVIN JEROME CLARK, M.D.

Active

Ophthalmology · PHOENIX, AZ

Registration Details

NPI Number
1093704751
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2005 (20.528204688976 yrs)
Last Updated
Nov 20, 2025
Licenses
45197 (MN)
53852 (AZ)

Practice Information

Address
4212 N 16TH ST
PHOENIX, AZ, 850165319
Browse AZ providers · Browse ZIP 85016
Phone
6022631200
Fax
6022631619
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in PHOENIX, AZ

Name Credential NPI
DR. GARY MACKMAN MD 1326044108
DR. PRAVIN U DUGEL 1780686766
DR. DONALD W PARK M.D. 1073515854
MR. SHARAM DANESH MD 1003808809
WILLIAM M MCLEISH M.D. 1598758898
DR. DANIEL B FELLER MD 1033103106
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.