Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB A CLARK, MD
Active Sole ProprietorJACOB A CLARK, MD is a Ophthalmology healthcare provider located in ALEXANDRIA, Virginia. NPI 1164464806 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · ALEXANDRIA, VA
Registration Details
- NPI Number
- 1164464806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2006 (20.034081387127 yrs)
- Last Updated
- Jan 21, 2026
- License
-
0101041044 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 N WASHINGTON STALEXANDRIA, VA, 223142311Browse VA providers · Browse ZIP 22314
- Phone
- 7035485588
- Fax
- 7035491599
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in ALEXANDRIA, VA
| Name | Credential | NPI |
|---|---|---|
| DR. MARK JERROLD SCHEFKIND | M.D. | 1972500650 |
| DR. ALAN J POLLACK | MD | 1629063052 |
| DR. STEVEN REDDING BULLARD | MD | 1235115544 |
| WALTER N WILLS | M.D. | 1013965227 |
| DR. MOHAMMED ELBASH | M.D. | 1760403240 |
| NICHOLAS ELLYN | M.D. | 1174626311 |
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.