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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 CorporationInferred 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