Individual provider · Type 1 NPI

Jacob A. Clark, MD

Ophthalmology Physician · Alexandria, VA

NPI number 1164464806 Active

Practice location

411 N Washington St
Alexandria, VA 22314-2311

Fax (703) 549-1599

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician Primary 207W00000X0101041044 (VA)

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

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About NPI 1164464806

Jacob A. Clark, MD's National Provider Identifier is 1164464806, issued on Jun 10, 2006. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Alexandria, VA. The record was last updated on Mar 21, 2026.