Search › Oklahoma › Optometrist
Jackie Clark, O.D
NPI 1790769065 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1805 N 13th St
Broken Arrow, OK 74012 - Phone
- (918) 872-1833
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-10
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 Oklahoma