Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN BRENT CLARK, O.D.
ActiveSTEPHEN BRENT CLARK, O.D. is a Optometrist healthcare provider located in ROCK SPRING, Georgia. NPI 1952300832 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ROCK SPRING, GA
Registration Details
- NPI Number
- 1952300832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2005 (20.885676299405 yrs)
- Last Updated
- Jul 22, 2010
- Licenses
-
OD002478 (TN)OPT002352 (GA)
Practice Information
- Address
-
8390 NORTH HWY 27ROCK SPRING, GA, 307392103Browse GA providers · Browse ZIP 30739
- Phone
- 7063751720
- Fax
- 7063751729
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
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.