Gregory Clark, O.d., Inc.

Optometrist Center


  
12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids
Minnesota, 55448-6708

 763-712-7761     763-712-7787Maps & Directions
Gregory Clark, O.d., Inc. is a Optometrist Center in Coon Rapids, Minnesota. It is situated at 12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids and its contact number is 763-712-7761. The authorized person of Gregory Clark, O.d., Inc. is Dr. Gregory Alexander Clark who is Owner of the clinic and their contact number is 612-703-0298. Primary license number for Gregory Clark, O.d., Inc. is 2806 (Optometrist) in Minnesota.
Gregory Clark, O.d., Inc. Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Center Profile:
Gregory Clark, O.d., Inc. Center speciality, address, contact phone number and fax are as below. Patients can call the eye care center on the below given phone number for appointment.
Specialization: Optometry
Clinic Address:12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids,
Minnesota, 55448-6708
Phone:763-712-7761
Fax:763-712-7787
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Dr. Gregory Alexander Clark
Position: Owner
Contact Number: 612-703-0298
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Gregory Clark, O.d., Inc. Center are as mentioned below.
NPI Number: 1801965504
NPI Enumeration Date: 07 Nov, 2006
NPI Last Update On: 29 Nov, 2012

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregory Clark, O.d., Inc. are as mentioned below.
SpecializationLicense NumberStateStatus
Optometrist 2806MinnesotaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1634747-00MedicaidMinnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Gregory Clark, O.d., Inc.
16160 22nd Pl N,
Plymouth, Minnesota
Zip: 55447-2382
Phone Number: 612-703-0298
Patients can reach Gregory Clark, O.d., Inc. at 12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids, Minnesota or can call to book an appointment on 763-712-7761. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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