Organization
TODD M. CLARK, OD
Active
Other names
IMAGE OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA ANDERSON O.D. (BILLING MANAGER)
(941) 828-3641
Entity
Organization
Contact information
Practice address
550 S CLEVELAND AVE STE D, WESTERVILLE, OH 43081-8958
(614) 839-2733
(614) 839-5367
Mailing address
550 S CLEVELAND AVE STE D, WESTERVILLE, OH 43081-8958
(614) 839-2733
(614) 839-5367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4992
OH
Other
Enumeration date
02/20/2008
Last updated
05/19/2008
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