Organization
GARY L. CLARKE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L CLARKE O.D. (PRESIDENT)
(740) 446-2525
Entity
Organization
Contact information
Practice address
308 SILVER BRIDGE PLZ, GALLIPOLIS, OH 45631-1833
(740) 446-2525
(740) 446-4371
Mailing address
308 SILVER BRIDGE PLZ, GALLIPOLIS, OH 45631-1833
(740) 446-2525
(740) 446-4371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150144000
—
WV
05
—
0345700
—
OH
Enumeration date
03/24/2008
Last updated
04/09/2008
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