Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY ALEXANDER CLARK, O.D.
ActiveDR. GREGORY ALEXANDER CLARK, O.D. is a Optometrist healthcare provider located in COON RAPIDS, Minnesota. NPI 1467521153 is currently active in the NPPES registry. Verify at CMS.
Optometrist · COON RAPIDS, MN
Registration Details
- NPI Number
- 1467521153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.758897516639 yrs)
- Last Updated
- Nov 29, 2012
- License
-
2806 (MN)
Practice Information
- Address
-
12547 RIVERDALE BLVD NWCOSTCO OPTICAL DEPARTMENTCOON RAPIDS, MN, 554486708Browse MN providers · Browse ZIP 55448
- Phone
- 7637127761
- Fax
- 7637127787
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| ROBERT DODGE | O.D. | 1164424370 |
| JAMES CONRAD VERKUILEN | OD | 1235191784 |
| TAMMY HARTNETT PETERSON | OD | 1366404386 |
| DR. BRIDGET C AXELSON | O.D. | 1073542767 |
| TIMOTHY EGGIMANN | OD | 1922038926 |
| DR. KARA DURICK JOHNSON | OD | 1710079892 |
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.