DR. Jackie Harold Clark SR. O.D.
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Overview of DR. Jackie Harold Clark SR. O.D.
- NPI number: 1598434045
- Provider type: Individual
- Gender: Male
- Active since: 12/01/2005
- Last updated: 06/10/2011
Primary Scrop of Practice
- Taxonomy Code: 152W00000X
- Specialty: Optometrist
- License Number: 1129
- License State: OK
Provider Mailing Address
- Address: 1805 N 13th StBroken Arrow, OK 74012
- Phone: 918-872-1833
- Fax:
Provider Practice Location
- Address: 1805 N 13th StBroken Arrow, OK 74012
- Phone: 918-872-1833
- Fax:
Scope of Practice
- Taxonomy Code: 152W00000X
- Specialty: Optometrist
- License Number: 1129
- License State: OK
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 100761100A
- Identifier Type: Medicare Oscar/Certification
- Identifier State: OK
- 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. Jackie Harold Clark SR. O.D.?
- A: The npi number for DR. Jackie Harold Clark SR. O.D. is 1790769065.
- Q: What are DR. Jackie Harold Clark SR. O.D.'s specialties?
- A: DR. Jackie Harold Clark SR. O.D.'s specialties are Optometrist and different specialities.
- Q: What is the medical license for DR. Jackie Harold Clark SR. O.D.?
- A: The medical license number for DR. Jackie Harold Clark SR. O.D. is 1129 and issued in OK in USA.
- Q: Where is DR. Jackie Harold Clark SR. O.D. practice location?
- A: DR. Jackie Harold Clark SR. O.D. is practicing at 1805 N 13th St, Broken Arrow, OK 74012.
- Q: How to contact DR. Jackie Harold Clark SR. O.D.?
- A: You can contact DR. Jackie Harold Clark SR. O.D. via 918-872-1833.