Organization
DOUGLAS C CLARK, OD, INC
Active
Other names
Pelham Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS CURTIS CLARK O.D. (OWNER)
(205) 664-1575
Entity
Organization
Contact information
Practice address
2617 PELHAM PKWY, PELHAM, AL 35124-1322
(205) 664-1575
(205) 664-1578
Mailing address
2617 PELHAM PKWY, PELHAM, AL 35124-1322
(205) 664-1575
(205) 664-1578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4910
RAILROAD
AL
Enumeration date
03/13/2007
Last updated
01/12/2011
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