National Provider Identifier
John D. Clark, O.D.
John D. Clark, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Geneva, NY and a listed phone number of (315) 781-2650.
Profile Overview
- NPI
- 1437213907
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- December 20, 2006
- Last Updated
- July 09, 2007
Practice Location
- Clark Eye Care Center
- 81 North St
- Geneva, NY 14456
Phone: (315) 781-2650
Mailing Address
- 81 North St
- Geneva, NY 14456-1737
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1437213907
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- John
- Middle Name
- D.
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 81 North St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1737
- Mailing Country
- US
- Mailing Phone
- (315) 781-2650
- Mailing Fax
- (315) 781-1970
- Practice Street Address
- Clark Eye Care Center
- Practice Address Line 2
- 81 North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456
- Practice Country
- US
- Practice Phone
- (315) 781-2650
- Practice Fax
- (315) 781-1970
- Enumeration Date
- December 20, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- PC100190CS (NY, Preferred Care), PO10005491 (NY, Blue Choice, Monroe Plan)