Individual
CANDIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2018019397
MO
152W00000X
Optometrist
Primary
2972
OK
Other
Enumeration date
06/20/2018
Last updated
05/12/2025
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