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Search › Missouri › 152W00000X

Jason Clark, O.D

NPI 1699024695 · on the registry since 2012

Practice

Address
101 Conley Rd
Columbia, MO 65201
Phone
(573) 875-1126
Organisation at this address
Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-05

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 Missouri