Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEVEN JAMES CLARK, LD0001859
ActiveMR. STEVEN JAMES CLARK, LD0001859 is a Optician, Dispensing healthcare provider located in GRAY, Georgia. NPI 1619197779 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · GRAY, GA
Registration Details
- NPI Number
- 1619197779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2007 (19.308855931557 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD0001859 (GA)
Practice Information
- Address
-
4292 GRAY HWYSUITE AGRAY, GA, 31032Browse GA providers · Browse ZIP 31032
- Phone
- 4789862384
- Fax
- 4789862301
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.