Donald R Clark, O.D.
Optometrist in Dublin, GA. Individual provider (NPI-1).
NPI number1124121124
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1124121124
- Entity type
- Individual (NPI-1)
- Name
- Donald R Clark
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2006
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT001315 | GA | Yes |
Practice location
2032 Veterans BlvdSuite A
Dublin, GA 31021-3042
Phone 478-272-3445 · Fax 478-272-4802
Mailing address
1950 Old Gallows RdSuite 520
Vienna, VA 22182-3990
Phone 703-847-8899 · Fax 703-991-0514
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All 16 Optometrist providers in Dublin · All 1,309 providers in Dublin
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