GREGORY CLARK, O.D., INC.
Organization (NPI-2)
Active
Optometrist
Provider Information
- NPI Number
1801965504- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12547 RIVERDALE BLVD NW COSTCO OPTICAL DEPARTMENT, COON RAPIDS, MN, 554486708
- Phone
- (763) 712-7761
- Fax
- (763) 712-7787
Specialties & Taxonomies
Optometrist
Primary License: MN #2806
All Addresses
LOCATION
12547 RIVERDALE BLVD NW COSTCO OPTICAL DEPARTMENT
COON RAPIDS, MN, 554486708