Gregory A Clark (NPI# 1467521153, PAC ID# 8426153867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467521153 |
| PAC ID by PECOS | 8426153867 |
| Professional Enrollment ID | I20070413000410 |
| Full Name | Gregory A Clark |
| Address |
12547 Riverdale Nwblvd Coon Rapids MN 55448-6708 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12547 Riverdale Nwblvd, Coon Rapids, MN 55448-6708 |
| Street Address |
12547 RIVERDALE NWBLVD |
| City | COON RAPIDS |
| State | MN |
| Zip | 55448-6708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Johnson | Optometry | 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1263 | |
| Kelsey Lyn Erickson-chmiel | Chiropractic | 3340 Northdale Blvd Nw, Suite 120, Coon Rapids, MN 55448-1622 | |
| Ryan J Brandt | Chiropractic | 330 Nw Northdale Blvd, Coon Rapids, MN 55448-3362 | |
| Mark Daniel Nelson | Chiropractic | 330 Nw Northdale Blvd, Coon Rapids, MN 55448-3362 | |
| James R Brandt | Chiropractic | 330 Nw Northdale Blvd, Coon Rapids, MN 55448-3362 | |
| Travis Nehowig | Physical Therapy | Physicians Neck and Back Clinics | 10160 Foley Nwblvd, Suite 120, Coon Rapids, MN 55448-5278 |
| Nancy B Marek | Physical Therapy | Physicians Neck and Back Clinics | 10160 Foley Nwblvd, Suite 120, Coon Rapids, MN 55448-5278 |
| Katherine L Anglin | Family Practice | Physicians Neck and Back Clinics | 10160 Foley Nwblvd, Suite 120, Coon Rapids, MN 55448-5278 |
| Angela M Oneill | Physical Therapy | Physicians Neck and Back Clinics | 10160 Foley Nwblvd, Coon Rapids, MN 55448-5278 |
| Jose A Alba Hernandez | Physical Therapy | Physicians Neck and Back Clinics | 10160 Foley Nwblvd, Suite 120, Coon Rapids, MN 55448-5278 |
| Find all physicians in zip 55448 | |||
| City | COON RAPIDS |
| Zip Code | 55448 |
| Specialty | OPTOMETRY |
| City + Specialty | COON RAPIDS + OPTOMETRY |
Please comment or provide details below to improve the information on Gregory A Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.