GREGORY CLARK, O.D., INC.

Optometrist

Active Organization
NPI: 1801965504

Practice Address

12547 RIVERDALE BLVD NW
COSTCO OPTICAL DEPARTMENT
Coon Rapids, MN 55448

Phone: (763) 712-7761

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2806 (MN)

Frequently Asked Questions

NPI 1801965504 is the National Provider Identifier for GREGORY CLARK, O.D., INC., a Optometrist provider located in Coon Rapids, MN. This NPI was enumerated on November 7, 2006.

Quick Facts

NPI
1801965504
Type
Organization
Enumerated
Nov 7, 2006
Last Updated
Nov 29, 2012

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