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Charles A Clark (OD)

Charles A Clark (OD) is a health care provider specializes in Optometrist. He.

profile-icon Basic Information

Practice Location 212 N Franklin St, Corydon, IA 50060-1328, US
Practice Location Phone641-774-5819
Practice Location Fax641-774-8415
Specialty InOptometrist
Medical SchoolIllinois College Of Optometry At Chicago
Graduation Year1977
NPI ?1922090752
PECOS ID9931187515
Enrollment IDI20040709001232
Entity TypeIndividual
Enumeration Date ? Aug 18, 2005
Last Update Date ? Jul 12, 2016
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Charles A Clark

SpecialtySpecializationLicenseLicense State
Optometrist 01637Iowa

Medicare-icon Medicare Participation of Charles A Clark

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

legacy-id-icon Legacy Provider IDs of Charles A Clark

Provider IdIssuer StateIssuer TypeIssuer