Individual provider · Type 1 NPI
Jackie Harold Clark Sr., OD
Optometrist · Broken Arrow, OK
Practice location
1805 N 13th St
Broken Arrow, OK 74012-8256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist Primary | 152W00000X | 1129 (OK) |
Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…
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About NPI 1790769065
Jackie Harold Clark Sr., OD's National Provider Identifier is 1790769065, issued on Dec 1, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 10, 2011.