Individual
DR. CAROLYN R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 271-5996
(352) 384-7602
Mailing address
8046 SW 62ND LN, GAINESVILLE, FL 32608-8501
(503) 984-2317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3038ATI
OR
Other
Enumeration date
07/27/2006
Last updated
11/03/2023
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