Dr. Gregory Alexander Clark

O.D. | Optometrist | 23+ years Exp


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

 763-712-7761     763-712-7787Maps & Directions
Dr. Gregory Alexander Clark is a Coon Rapids, Minnesota based male Optometrist with 23 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gregory Alexander Clark is 2806 for Optometry in Minnesota.
Dr. Gregory Alexander Clark 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Gregory Alexander Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 23+ years
Medical School Attended:Illinois College Of Optometry At Chicago
Graduation Year:2001
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids,
Minnesota, 55448-6708
Phone:763-712-7761
Fax:763-712-7787
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 are as mentioned below.
PAC ID: 8426153867
Enrollment ID: I20070413000410
NPI Number: 1467521153
NPI Enumeration Date: 07 Nov, 2006
NPI Last Update On: 29 Nov, 2012

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregory Alexander Clark are as mentioned below.
License NumberSpecializationStateStatus
2806Optometry MinnesotaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gregory Alexander Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
163474700MedicaidMinnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 16160 22nd Pl N,
Plymouth, Minnesota
Zip: 55447-2382
Phone Number: 612-703-0298
Fax Number: --
Patients can reach Dr. Gregory Alexander Clark 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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