| NPI | 1992471718 |
|---|---|
| Doing Business As | CLARK EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | DENISE HOOK Accountant 641-872-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |