Organization
CLARK FAMILY VISION PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKOLAS WILSON CLARK OD (MANAGER)
(319) 533-2399
Entity
Organization
Contact information
Practice address
5811 ELMORE AVE, DAVENPORT, IA 52807-3513
(563) 359-5008
Mailing address
2211 PARKWAY DR, BETTENDORF, IA 52722-3007
(319) 533-2399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002399
IA
Other
Enumeration date
01/05/2009
Last updated
10/05/2010
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