Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS L CLARK, O.D.
Active Sole ProprietorNICHOLAS L CLARK, O.D. is a Optometrist healthcare provider located in MCMINNVILLE, Oregon. NPI 1760710958 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MCMINNVILLE, OR
Registration Details
- NPI Number
- 1760710958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2009 (16.744957980238 yrs)
- Last Updated
- Jul 29, 2015
- License
-
3319 ATI (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2185 NW 2ND STMCMINNVILLE, OR, 971289108Browse OR providers · Browse ZIP 97128
- Phone
- 5034351231
- Fax
- 5034350151
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MCMINNVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. GARY DEAN CROWELL | OD | 1194707315 |
| DR. SUSAN MARIE GLAD | O.D. | 1073694253 |
| DR. BRIAN DAVID MORRISSEY | O.D. | 1821112863 |
| MARK MCKENZIE | OD | 1164783718 |
| AMY RAE VAN HEEL | OD | 1598128019 |
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.