Gregory Clark, O.d., Inc.

  • 1801965504 NPI Number
  • |
  • Actived: 17 years ago
  • |
Gregory Clark, O.d., Inc. is a health care provider based in Coon Rapids, MN. The NPI Number is 1801965504 and it has been active since 17 years ago. The specialty is Optometrist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Optometrist services, Gregory Clark, O.d., Inc. is an excellent option. We are here to help you get the care you need.

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Overview of Gregory Clark, O.d., Inc.

  • NPI number: 1558967950
  • Provider type: Organization
  • 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

Authorized Official

  • Name: DR. Gregory Alexander Clark O.D.
  • Position/Title: Owner
  • Telephone Number: 612-703-0298

Scope of Practice

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

Legacy Identifiers

  • Provider Identifier: 1634747-00
  • 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 Gregory Clark, O.d., Inc.?
  • A: The npi number for Gregory Clark, O.d., Inc. is 1801965504.
  • Q: What are Gregory Clark, O.d., Inc.'s specialties?
  • A: Gregory Clark, O.d., Inc.'s specialties are Optometrist and different specialities.
  • Q: Where is Gregory Clark, O.d., Inc. business practice location?
  • A: Gregory Clark, O.d., Inc. business practice location is 12547 Riverdale Blvd Nw, Coon Rapids, MN 55448.
  • Q: How to contact Gregory Clark, O.d., Inc.?
  • A: You can contact Gregory Clark, O.d., Inc. via 763-712-7761.
  • Q: What is the authorized official for Gregory Clark, O.d., Inc.?
  • A: The authorized office name is DR. Gregory Alexander Clark O.D. with position/title is Owner and you can reach the authorized official via phone number 6127030298.
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