SearchMinnesotaOptometrist

Gregory Clark, O.D

NPI 1467521153 · on the registry since 2006

Practice

Address
12547 Riverdale Blvd Nw
Costco Optical Department
Coon Rapids, MN 55448
Phone
(763) 712-7761
Fax
(763) 712-7787
Organisation at this address
Gregory Clark, O.D., Inc.
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota