Individual
DR. JOHN D. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
CLARK EYE CARE CENTER, 81 NORTH ST, GENEVA, NY 14456
(315) 781-2650
(315) 781-1970
Mailing address
81 NORTH ST, GENEVA, NY 14456-1737
(315) 781-2650
(315) 781-1970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC100190CS
PREFERRED CARE
NY
01
—
PO10005491
BLUE CHOICE, MONROE PLAN
NY
Enumeration date
12/20/2006
Last updated
07/09/2007
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