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

GRADY M. CLARK JR., O.D.P.A.

Active Organization

GRADY M. CLARK JR., O.D.P.A. is a Optometrist organization located in MERIDIAN, Mississippi. NPI 1922409028 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MERIDIAN, MS

Registration Details

NPI Number
1922409028
Provider Type
Organization
NPI Issued
Sep 8, 2014 (11.914744614074 yrs)
Last Updated
Feb 20, 2017
License
457 (MS)

Practice Information

Address
2112 N FRONTAGE RD
MERIDIAN, MS, 393016158
Browse MS providers · Browse ZIP 39301
Phone
6016932020
Fax
6016932690
Primary Specialty
Optometrist
152W00000X
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.