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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY CLARK, O.D., INC.

Active Organization

GREGORY CLARK, O.D., INC. is a Optometrist organization located in COON RAPIDS, Minnesota. NPI 1801965504 is currently active in the NPPES registry. Verify at CMS.

Optometrist · COON RAPIDS, MN

Registration Details

NPI Number
1801965504
Provider Type
Organization
NPI Issued
Nov 7, 2006 (19.758819076286 yrs)
Last Updated
Nov 29, 2012
License
2806 (MN)

Practice Information

Address
12547 RIVERDALE BLVD NW
COSTCO OPTICAL DEPARTMENT
COON RAPIDS, MN, 554486708
Browse MN providers · Browse ZIP 55448
Phone
7637127761
Fax
7637127787
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in COON RAPIDS, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.