Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DARYLE L CLARK, OD
DeactivatedDR. DARYLE L CLARK, OD is a Optometrist healthcare provider located in GILLETTE, Wyoming. NPI 1205820081 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · GILLETTE, WY
This NPI has been deactivated.
The record was deactivated on March 25, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205820081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (0.54520547945205 yrs)
- Last Updated
- Dec 5, 2015
- Deactivated
- Mar 25, 2006
- License
-
191T (WY)
Practice Information
- Address
-
312 E LAKEWAY RDGILLETTE, WY, 827186329Browse WY providers · Browse ZIP 82718
- Phone
- 3076877353
- Fax
- 3076861052
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GILLETTE, WY
| Name | Credential | NPI |
|---|---|---|
| DR. SARAH LYNN KOEHN | O.D. | 1215929021 |
| MICHAEL K. HUGHES | O. D. | 1346210531 |
| DR. ROBERT L MILLS | O.D. | 1659399376 |
| BRUCE GORDON JOHNSON | O.D. | 1366654899 |
| CARLA DEANN SHOULTS | O.D. | 1164602371 |
| MELISSA MARIE SERREYN YOUNGER | — | 1770818858 |
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.