Individual
DR. THOMAS DAVID CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1401 N GREEN RIVER RD, EVANSVILLE, IN 47715-2428
(812) 479-5025
(812) 479-5060
Mailing address
820 COBBLESTONE DR, EVANSVILLE, IN 47715-4287
(812) 401-3508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002530 B
IN
Other
Enumeration date
01/23/2007
Last updated
06/21/2011
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