NPI 1952012130
Edward Owen Clark, LDOABOC
Practice location
- Address
- 12000 Iron Bridge Rd, Chester, VA 23831-1459
- Phone
- (804) 768-1273
Registered specialties
Optician
Primary
Registry record
- NPI
- 1952012130
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Dec 2022
- Record last updated
- 8 Dec 2022
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.