NPI 1033220868

John Alfred Clark, OD

Practitioner Optometrist Orlando, FL

Practice location

Address: 4000 Central Florida Blvd University of Central Fl. - Student Union Bldg., Orlando, FL 32816-8005
Phone: (407) 823-4017
Mailing address: 11225 Bronson Rd, Clermont, FL 34711-9318

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OP 1726 (FL)

Other Optometrist providers in Florida →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODTA00379 (RI)

Registry record

NPI: 1033220868
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2007

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.