Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES A CLARK, OD
Active Sole ProprietorCHARLES A CLARK, OD is a Optometrist healthcare provider located in CORYDON, Iowa. NPI 1922090752 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CORYDON, IA
Registration Details
- NPI Number
- 1922090752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.964371052593 yrs)
- Last Updated
- Jul 12, 2016
- License
-
01637 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 N FRANKLIN STCORYDON, IA, 500601328Browse IA providers · Browse ZIP 50060
- Phone
- 6417745819
- Fax
- 6417748415
- Primary Specialty
-
Optometrist
152W00000X
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.