NPI 1164464806

Jacob a Clark, MD

Practitioner Ophthalmology Physician Alexandria, VA

Practice location

Address: 411 N Washington St, Alexandria, VA 22314-2311
Phone: (703) 548-5588
Fax: (703) 549-1599
Mailing address: 2661 Riva Rd STE 1030, Annapolis, MD 21401-7131

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 0101041044 (VA)

Other Ophthalmology providers in Virginia →

Registry record

NPI: 1164464806
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2006
Record last updated: 21 Mar 2026

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.