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

JACKSON TYLER CLARK

Active

JACKSON TYLER CLARK is a Optometrist healthcare provider located in INDIANAPOLIS, Indiana. NPI 1245022540 is currently active in the NPPES registry. Verify at CMS.

Optometrist · INDIANAPOLIS, IN

Registration Details

NPI Number
1245022540
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2025 (1.222256791213 yrs)
Last Updated
Jul 24, 2025
License
18004592A (IN)

Practice Information

Address
6985 W 38TH ST STE 100
INDIANAPOLIS, IN, 462543918
Browse IN providers · Browse ZIP 46254
Phone
3172430028
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in INDIANAPOLIS, IN

Name Credential NPI
DR. JOAN LESLIE FRANK O.D. 1134121643
DR. JACQUELINE M JENKINS OD 1639162811
JOEL STUART ENGELBERG OD 1639164015
DR. RANDALL S BERNSTEIN O.D. 1710973318
DR. DANIEL L HERKERT O.D. 1922094879
DR. NANCY C STOVALL OD 1275521551
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.