NPI 1013061803
Linda Jean Clark, OD
Practice location
- Address
- 1765 Stafford Court, Goshen, IN 46526-6542
- Phone
- (574) 533-4910
- Fax
- (574) 534-3479
Registered specialties
Optometrist
Primary
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.