NPI | 1184967291 |
---|---|
Doing Business As | CLARK EYE CLINIC |
Entity Type | Organization |
Authorized Contact | PHILIP H CLARK Owner (President) 479-967-4711 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2013-03-27 |
Last Update Date | 2014-09-19 |