Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK DOUGLAS CLARK, M.D.
Active Sole ProprietorJACK DOUGLAS CLARK, M.D. is a Ophthalmology healthcare provider located in FRESNO, California. NPI 1265571608 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · FRESNO, CA
Registration Details
- NPI Number
- 1265571608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2007 (19.553749563279 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G56196 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7112 N FRESNO STSUITE 100FRESNO, CA, 937202940Browse CA providers · Browse ZIP 93720
- Phone
- 5594391620
- Fax
- 5594326579
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| ERIC JAMES POULSEN | M.D. | 1003819301 |
| LARRY RAY LAWRENCE | M.D. | 1164425468 |
| DR. AZHAR I SALAHUDDIN | M.D. | 1801897194 |
| MR. CHAD SHERWOOD REDER | MD | 1336138924 |
| DR. LAURA A TEASLEY | MD | 1154312635 |
| DR. FRANK MICHAEL BISHOP | M.D. | 1538134796 |
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.