Whalio Doctors

NPI 1013061803

Linda Jean Clark, OD

Practitioner Optometrist Goshen, IN

Practice location

Address
1765 Stafford Court, Goshen, IN 46526-6542
Phone
(574) 533-4910
Fax
(574) 534-3479

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002119 (IN)

Registry record

NPI
1013061803
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jan 2007
Record last updated
2 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.