Organization
CLARK OPTOMETRY, P.C.
Active
Other names
Clark Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D. CLARK O.D. (PRESIDENTCEO)
(315) 781-2650
Entity
Organization
Contact information
Practice address
81 NORTH ST, GENEVA, NY 14456-1737
(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
VUT005491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100190CS
PREFERRED CARE
NY
Enumeration date
03/14/2007
Last updated
08/22/2020
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