DR. Gregory Alexander Clark O.D.

  • NPI 1467521153
According to our database, the NPI number for DR. Gregory Alexander Clark O.D. is 1467521153 and activated since 17 years ago. DR. Gregory Alexander Clark O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 12547 Riverdale Blvd Nw, Coon Rapids, MN 55448. You can also contact DR. Gregory Alexander Clark O.D. via telephone number is (763) 712-7761. Provider NPI information was last updated on 11/29/2012.

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Overview of DR. Gregory Alexander Clark O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/07/2006
  • Last updated: 11/29/2012

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2806
  • License State: MN

Provider Mailing Address

  • Address: 16160 22nd Pl N
    Plymouth, MN 55447
  • Phone: 612-703-0298
  • Fax:

Provider Practice Location

  • Address: 12547 Riverdale Blvd Nw
    Costco Optical Department
    Coon Rapids, MN 55448
  • Phone: 763-712-7761
  • Fax: 763-712-7787

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2806
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 163474700
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Gregory Alexander Clark O.D.?
  • A: The npi number for DR. Gregory Alexander Clark O.D. is 1467521153.
  • Q: What are DR. Gregory Alexander Clark O.D.'s specialties?
  • A: DR. Gregory Alexander Clark O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Gregory Alexander Clark O.D.?
  • A: The medical license number for DR. Gregory Alexander Clark O.D. is 2806 and issued in MN in USA.
  • Q: Where is DR. Gregory Alexander Clark O.D. practice location?
  • A: DR. Gregory Alexander Clark O.D. is practicing at 12547 Riverdale Blvd Nw, Coon Rapids, MN 55448.
  • Q: How to contact DR. Gregory Alexander Clark O.D.?
  • A: You can contact DR. Gregory Alexander Clark O.D. via 763-712-7761.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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