Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKIE HAROLD CLARK SR., O.D.
Active Sole ProprietorDR. JACKIE HAROLD CLARK SR., O.D. is a Optometrist healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1790769065 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1790769065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.519314265958 yrs)
- Last Updated
- Jun 10, 2011
- License
-
1129 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1805 N 13TH STBROKEN ARROW, OK, 740128256Browse OK providers · Browse ZIP 74012
- Phone
- 9188721833
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| THOMAS HOWARD BERENSON | O.D. | 1942280896 |
| MATTHEW E OZMENT | O.D. | 1669433249 |
| DR. STACEY MURRELL | OD | 1619984481 |
| COLBY BEATS | OD | 1043227812 |
| DR. JOHN D HUDKINS | O.D. | 1457447062 |
| DR. HARRY R KING | O.D. | 1225183601 |
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.